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Montana rates for HCPCS G0492

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

Facilitymedian $692 · 10th–90th $3–$1,4130%20%40%10th90th$692Professionalmedian $631 · 10th–90th $631–$1,0720%50%90th$631$5.0$20.0$100.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$630.96 / $630.96 / $1,071.52
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.57 / $691.83 / $1,412.54
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $79.43 / $85.11