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Utah rates for HCPCS G0384

Level 5 Hospital Type B Ed Visit

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$195.58 / $195.58 / $195.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$195.58 / $291.48 / $631.14
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $45.00 / $60.00