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All Charges

Charge Type Setting Price  
Service Code CPT G0438
Hospital Charge Code 51G0438
Min. Negotiated Rate $126.87
Max. Negotiated Rate $267.70
Rate for Payer: Aetna Better Health Medicare-Medicaid Dual Eligibility $158.59
Rate for Payer: Behavioral Services Network Commercial $174.45
Rate for Payer: Behavioral Services Network Medicare $158.59
Rate for Payer: Carelon Medicare $158.59
Rate for Payer: Lucet Commercial $142.73
Rate for Payer: Lucet Commercial $150.66
Rate for Payer: Lucet Commercial $126.87
Rate for Payer: Molina Complete Care Medicaid/Medicare $158.59
Rate for Payer: Prime Health Services Workers Comp $267.70
Service Code CPT G0439
Hospital Charge Code 52G0439
Min. Negotiated Rate $99.86
Max. Negotiated Rate $210.09
Rate for Payer: Aetna Better Health Medicare-Medicaid Dual Eligibility $124.83
Rate for Payer: Behavioral Services Network Commercial $137.31
Rate for Payer: Behavioral Services Network Medicare $124.83
Rate for Payer: Carelon Medicare $124.83
Rate for Payer: Lucet Commercial $112.35
Rate for Payer: Lucet Commercial $118.59
Rate for Payer: Lucet Commercial $99.86
Rate for Payer: Molina Complete Care Medicaid/Medicare $124.83
Rate for Payer: Prime Health Services Workers Comp $210.09