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Hawaii rates for HCPCS 90964

End-stage renal disease (ESRD) related services for home dialysis per full month, for patients 2-11 years of age to include monitoring for the adequacy of nutrition, assessment of growth and development, and counseling of parents

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $501.19 / $660.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $602.56 / $2,041.74
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $575.44 / $676.08
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $660.69 / $831.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $602.56 / $851.14
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $467.74 / $645.65