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 | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $269.15 | $316.23 | $416.87 | |
BCBS
| Professional | $467.74 | $575.44 | $575.44 | |
Cigna
| Professional | $281.84 | $467.74 | $1,047.13 | |
United
| Professional | $309.03 | $467.74 | $977.24 |