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New Mexico rates for HCPCS G0390

Trauma response team associated with hospital critical care service

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,468.40 / $5,468.40 / $5,468.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.22 / $318.22 / $1,270.80
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
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.00 / $60.00 / $85.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$318.22 / $318.22 / $1,270.80
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$673.84 / $673.84 / $2,250,000.00