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Nebraska 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 / $1,060.57 / $1,060.57
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,120.75 / $2,120.75 / $2,120.75
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$901.48 / $1,590.86 / $1,962.05