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West 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
$368.45 / $481.78 / $640.14
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$530.92 / $581.27 / $633.29
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.76 / $532.83 / $562.92
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$569.26 / $569.26 / $569.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.74 / $562.92 / $1,014.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$321.14 / $469.37 / $677.51