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North Carolina 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
Professional
Modifier
Low / Median / High Price
$45.60 / $49.76 / $60.00
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$628.00 / $628.00 / $628.00
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00