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South Carolina 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
$765.00 / $1,060.57 / $1,060.57
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$336.00 / $445.00 / $717.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$752.00 / $752.00 / $752.00
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$993.59 / $1,060.57 / $1,802.97
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00