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Minnesota 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
$117.52 / $127.22 / $145.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$258.02 / $299.83 / $331.65
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.50 / $39.42 / $39.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.70 / $36.70 / $36.70
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$109.88 / $127.22 / $215.00