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Colorado 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
$628.00 / $628.00 / $628.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.04 / $94.12 / $138.66
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$628.00 / $628.00 / $973.40
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.00 / $329.00 / $705.00