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Wisconsin rates for HCPCS G0384

Level 5 Hospital Type B Ed Visit

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$291.48 / $291.48 / $340.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$195.58 / $291.48 / $294.39
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.97 / $146.88 / $164.92
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.00 / $64.00 / $64.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$419.40 / $419.40 / $419.40
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$241.29 / $291.48 / $699.55
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$210.46 / $291.48 / $699.55
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $65.00 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$241.29 / $291.48 / $699.55