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Illinois rates for HCPCS G0380

Level 1 Hospital Type B Ed Visit

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$353.00 / $353.00 / $353.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.59 / $232.54 / $232.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.00 / $64.00 / $64.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.50 / $43.50 / $43.50
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.89 / $62.36 / $106.01
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.96 / $14.65 / $2,500.00