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Utah rates for HCPCS G0380

Level 1 Hospital Type B Ed Visit

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.06 / $67.06 / $67.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.06 / $232.54 / $232.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.50 / $43.50 / $43.50
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $45.00 / $60.00