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Mississippi 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
$993.59 / $1,060.57 / $1,060.57
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.00 / $218.00 / $218.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$650.00 / $650.00 / $650.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.00 / $21.25 / $59.50