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Montana rates for HCPCS G0390

Trauma response team associated with hospital critical care service

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.22 / $444.81 / $6,277.99
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$68,099.99 / $68,099.99 / $81,499.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$673.84 / $673.84 / $673.84
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$318.22 / $318.22 / $3,172.85
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$673.84 / $2,250,000.00 / $2,400,000.00