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Idaho rates for HCPCS G0390

Trauma response team associated with hospital critical care service

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$477.33 / $2,173.60 / $9,534.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.22 / $444.81 / $6,277.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$673.84 / $673.84 / $673.84
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$318.22 / $337.31 / $1,270.80
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $3,500.00
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,303.34 / $2,303.34 / $2,775.91