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Hawaii rates for HCPCS 90965

End-stage renal disease (ESRD) related services for home dialysis per full month, for patients 12-19 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
$387.50 / $462.83 / $513.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$466.35 / $603.36 / $2,091.92
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$474.12 / $544.19 / $612.59
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$493.45 / $592.14 / $690.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$400.52 / $576.79 / $752.42
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$370.36 / $449.72 / $613.73