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Indiana 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
$1.96 / $2.94 / $70.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.20 / $2.59 / $2.59