go back

New Hampshire 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
$878.86 / $878.86 / $878.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$253.85 / $303.33 / $379.85
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$297.48 / $380.42 / $534.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$314.89 / $463.84 / $842.94
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$360.30 / $540.45 / $1,112.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$311.23 / $433.83 / $821.87
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$228.72 / $251.59 / $320.20