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Nevada 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 / $5.81 / $5.81
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
$64.31 / $85.97 / $128.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.00 / $159.00 / $159.00
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.00 / $400.00 / $493.00
Hometown Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$773.32 / $773.32 / $773.32