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Hawaii rates for HCPCS 90969

End-stage renal disease (ESRD) related services for dialysis less than a full month of service, per day; for patients 12-19 years of age

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.08 / $15.74 / $17.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.74 / $20.63 / $70.50
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.73 / $19.21 / $21.63
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.61 / $19.93 / $23.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.33 / $16.98 / $25.34
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.55 / $15.24 / $20.80