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Wisconsin rates for HCPCS G0380

Level 1 Hospital Type B Ed Visit

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$232.54 / $232.54 / $232.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.00 / $232.54 / $232.54
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.11 / $16.43 / $28.80
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 / $83.22
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.59 / $232.54 / $348.81
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.29 / $232.54 / $355.79
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $65.00 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.59 / $232.54 / $348.81
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.50 / $43.50 / $43.50