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Oregon rates for HCPCS G0382

Level 3 hospital emergency department visit provided in a type B emergency department; (the ED must meet at least one of the following requirements: (1) it is licensed by the state in which it is located under applicable state law as an emergency room or emergency department; (2) it is held out to the public (by name, posted signs, advertising, or other means) as a place that provides care for emergency medical conditions on an urgent basis without requiring a previously scheduled appointment; or (3) during the calendar year immediately preceding the calendar year in which a determination under 42 CFR 489.24 is being made, based on a representative sample of patient visits that occurred during that calendar year, it provides at least one-third of all of its outpatient visits for the treatment of emergency medical conditions on an urgent basis without requiring a previously scheduled appointment)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,230.27 / $1,230.27 / $1,230.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $239.88 / $363.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $107.15 / $107.15
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$208.93 / $239.88 / $489.78
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $239.88 / $363.08
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$190.55 / $478.63 / $478.63
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$208.93 / $239.88 / $467.74
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $61.66 / $79.43
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$812.83 / $812.83 / $831.76