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Hawaii rates for HCPCS 90958

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 2-3 face-to-face visits by a physician or other qualified health care professional per month

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$373.19 / $456.41 / $515.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$447.85 / $606.26 / $2,096.23
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$477.00 / $547.49 / $616.30
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$494.22 / $593.05 / $691.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$386.79 / $558.39 / $724.48
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$372.07 / $451.80 / $616.57