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Rhode Island 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 / $390.25
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,303.32 / $1,448.13 / $1,604.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,983.88 / $2,983.88 / $2,983.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.78 / $127.78 / $127.78