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Connecticut 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
$792.00 / $993.59 / $1,060.57
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.74 / $77.29 / $106.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$600.00 / $600.00 / $600.00