go back

Michigan rates for HCPCS G0381

Level 2 Hospital Type B Ed Visit

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$127.22 / $127.22 / $127.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.22 / $127.22 / $263.14
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$103.47 / $103.47 / $908.47
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.30 / $108.64 / $139.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.00 / $64.00 / $64.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.70 / $36.70 / $36.70
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.26 / $127.22 / $197.89
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $55.00