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Utah rates for HCPCS G0381

Level 2 Hospital Type B Ed Visit

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.52 / $117.52 / $117.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.52 / $127.22 / $128.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.70 / $36.70 / $36.70
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $45.00 / $60.00