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Indiana rates for HCPCS G0390

Trauma response team associated with hospital critical care service

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$249.71 / $8,402.91 / $20,122.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.22 / $318.22 / $1,270.80
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$814.58 / $814.58 / $814.58
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.45 / $51.54 / $60.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.00 / $64.00 / $64.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$673.84 / $673.84 / $673.84