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New Jersey 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
$852.00 / $993.59 / $1,060.57
AmeriHealth
Facility/Professional
Facility
Modifier
Low / Median / High Price
$733.00 / $733.00 / $733.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$150.00 / $150.00 / $150.00
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.38 / $187.50 / $187.50