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Montana 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
Professional
Modifier
Low / Median / High Price
$236.08 / $297.19 / $451.21
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$508.97 / $508.97 / $508.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$508.97 / $508.97 / $508.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$305.24 / $399.31 / $876.43
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$301.79 / $382.15 / $641.66
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$366.49 / $661.71 / $861.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$412.08 / $477.09 / $555.83