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Louisiana rates for HCPCS 90959

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 1 face-to-face visit by a physician or other qualified health care professional per month

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$363.08 / $363.08 / $363.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $338.84 / $457.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $371.54 / $426.58
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$302.00 / $331.13 / $331.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$524.81 / $524.81 / $524.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $371.54 / $691.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $302.00 / $512.86