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Hawaii rates for HCPCS 90967

End-stage renal disease (ESRD) related services for dialysis less than a full month of service, per day; for patients younger than 2 years of age

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.43 / $16.92 / $19.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.59 / $22.04 / $73.38
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.39 / $24.55 / $27.65
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.26 / $20.71 / $24.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.57 / $20.95 / $28.56
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.04 / $15.84 / $21.61