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Massachusetts 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
$993.59 / $993.59 / $993.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$917.98 / $993.59 / $1,060.57
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.94 / $215.19 / $304.95
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.33 / $14.92 / $25.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$355.00 / $355.00 / $355.00
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$545.00 / $545.00 / $545.00
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$473.00 / $473.00 / $473.00
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00