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Colorado rates for HCPCS G0491

Dialysis procedure at a Medicare certified ESRD facility for acute kidney injury without ESRD

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$433.77 / $993.59 / $1,060.57
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$462.00 / $1,138.00 / $1,235.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.26 / $108.27 / $166.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$975.00 / $975.00 / $975.00
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$433.77 / $442.45 / $1,060.57
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.00 / $329.00 / $1,150.00