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Washington rates for HCPCS G0383

Level 4 Hospital Type B Ed Visit

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,715.08 / $1,715.08 / $2,257.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$231.05 / $232.96 / $381.33
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.21 / $727.12 / $727.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$681.46 / $681.46 / $681.46
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$233.55 / $679.03 / $1,318.32
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $50.00 / $75.00
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$445.00 / $713.00 / $79,999.20
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$250.00 / $250.00 / $250.00
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.97 / $94.97 / $94.97