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Hawaii rates for HCPCS 90947

Dialysis procedure other than hemodialysis (eg, peritoneal dialysis, hemofiltration, or other continuous renal replacement therapies) requiring repeated evaluations by a physician or other qualified health care professional, with or without substantial revision of dialysis prescription

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.04 / $120.49 / $175.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.98 / $149.41 / $507.87
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.78 / $154.71 / $174.16
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.53 / $143.44 / $167.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.27 / $140.99 / $198.83
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.35 / $109.71 / $149.72