go back

Maine rates for HCPCS G0390

Trauma Response With Hospital Critical

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,258.02 / $2,289.29 / $2,966.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.22 / $318.22 / $6,277.99
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.45 / $60.64 / $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
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,337.19 / $2,337.19 / $2,337.19
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.22 / $318.22 / $6,277.99