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Colorado rates for HCPCS G0257

Unscheduled or emergency dialysis treatment for an ESRD patient in a hospital outpatient department that is not certified as an ESRD facility

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.81 / $5.81 / $631.16
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.34 / $96.80 / $138.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$473.24 / $473.24 / $473.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$533.75 / $533.75 / $533.75
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.81 / $631.16 / $902.57
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.00 / $155.00 / $329.00