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Virginia 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
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.71 / $78.06 / $109.35
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$358.00 / $358.00 / $403.00
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$628.00 / $628.00 / $956.44
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,071.00 / $4,071.00 / $4,071.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,071.00 / $4,071.00 / $4,071.00