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Montana rates for HCPCS G0380

Level 1 Hospital Type B Ed Visit

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.50 / $232.54 / $232.54
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81,499.99 / $81,499.99 / $81,499.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.50 / $43.50 / $101.41
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$135.94 / $232.54 / $232.54
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.50 / $101.41 / $2,400,000.00