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Pennsylvania rates for HCPCS G0383

Level 4 Hospital Type B Ed Visit

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$232.96 / $232.96 / $232.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$231.05 / $232.96 / $300.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$681.46 / $681.46 / $681.46
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$232.96 / $232.96 / $232.96
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$231.05 / $232.96 / $249.32
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$224.84 / $360.20 / $449.68
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$681.46 / $681.46 / $681.46