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Kansas 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
Facility
Modifier
Low / Median / High Price
$5.81 / $9.76 / $9.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.81 / $5.81 / $5.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,511.94 / $1,845.38 / $2,306.48
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.81 / $5.81 / $8.67
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$656.92 / $656.92 / $656.92