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Virginia rates for HCPCS 90958

End-stage renal disease (ESRD) related services monthly, for patients 12-19 years of age to include monitoring for the adequacy of nutrition, assessment of growth and development, and counseling of parents; with 2-3 face-to-face visits by a physician or other qualified health care professional per month

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $501.19 / $758.58
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $630.96 / $933.25
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $575.44 / $758.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $562.34 / $977.24
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $616.60 / $851.14
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $630.96 / $741.31
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$467.74 / $602.56 / $912.01
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $338.84 / $338.84
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$467.74 / $549.54 / $891.25
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $549.54 / $891.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $489.78 / $794.33