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Minnesota 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
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$152.31 / $152.31 / $793.22
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.35 / $147.74 / $152.31
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$628.00 / $628.00 / $628.00