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Georgia rates for HCPCS G0491

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,060.57 / $1,060.57 / $1,060.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$522.00 / $1,060.57 / $1,060.57
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.38 / $79.23 / $79.23
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$400.00 / $400.00 / $400.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$547.00 / $547.00 / $605.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.06 / $152.05 / $191.72