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Michigan rates for HCPCS G0390

Trauma response team associated with hospital critical care service

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$318.22 / $4,465.50 / $7,581.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.22 / $318.22 / $6,277.99
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,088.63 / $1,237.16 / $1,741.81
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,175.30 / $1,299.02 / $1,546.45
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
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$318.22 / $3,777.75 / $7,132.47
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$276.87 / $318.22 / $578.66
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $75.00