go back

New York rates for HCPCS G0390

Trauma response team associated with hospital critical care service

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$256.62 / $318.22 / $318.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.22 / $318.22 / $5,707.27
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.96 / $185.40 / $285.98
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
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$130.00 / $130.00 / $156.00
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.00 / $64.00 / $597.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$673.84 / $673.84 / $673.84