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California rates for HCPCS G0492

Dialysis procedure with single evaluation by a physician or other qualified health care professional for acute kidney injury without ESRD

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $630.96 / $630.96
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.20 / $107.15 / $457.09
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $95.50 / $128.82
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $281.84 / $831.76
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.96 / $691.83 / $1,318.26
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $79.43 / $79.43