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Pennsylvania 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
$307.81 / $307.81 / $307.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$246.70 / $307.81 / $379.85
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$324.73 / $336.99 / $535.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$370.09 / $370.09 / $370.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$291.44 / $364.79 / $624.62
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$710.09 / $710.09 / $710.09
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$344.56 / $443.92 / $664.35
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.41 / $318.98 / $699.74
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$357.93 / $584.05 / $815.70
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$370.09 / $370.09 / $370.09
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$290.38 / $360.82 / $605.72
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$316.58 / $316.58 / $316.58
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.60 / $316.58 / $329.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$252.60 / $317.98 / $542.61