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Missouri 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
$542.00 / $628.00 / $628.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.96 / $70.70 / $87.31
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $628.00 / $628.00