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New Hampshire rates for HCPCS G0383

Level 4 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
$231.05 / $298.37 / $477.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.88 / $231.05 / $232.96
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.27 / $398.27 / $398.27
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.97 / $94.97 / $94.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$681.46 / $681.46 / $681.46