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New Hampshire 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
$496.00 / $496.00 / $496.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.95 / $79.43 / $86.56
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,500.00 / $2,750.00 / $3,500.00