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Wyoming 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
$409.19 / $506.05 / $643.28
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$721.00 / $889.00 / $889.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$445.09 / $663.70 / $1,326.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$493.99 / $720.93 / $1,435.49