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Texas rates for HCPCS G0384

Level 5 Hospital Type B Ed Visit

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$291.48 / $291.48 / $465.90
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$372.28 / $1,090.78 / $1,950.04
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$554.40 / $554.40 / $554.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,825.09 / $1,825.09 / $1,825.09
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$291.48 / $291.48 / $827.34
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$291.48 / $291.48 / $827.34
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,800,000.00 / $2,400,000.00 / $2,400,000.00
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$148.79 / $148.79 / $208.31