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Nevada 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
$433.77 / $1,060.57 / $1,060.57
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$462.00 / $462.00 / $551.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.43 / $79.70 / $140.40
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.00 / $400.00 / $493.00