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Oklahoma 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
$754.61 / $1,039.46 / $1,590.98
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,060.57 / $1,060.57 / $1,219.66