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Pennsylvania rates for HCPCS G0390

Trauma response team associated with hospital critical care service

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$840.00 / $3,959.65 / $10,064.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.22 / $318.22 / $3,268.76
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
$840.00 / $3,749.68 / $10,087.70
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.22 / $318.22 / $3,268.76
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.00 / $64.00 / $64.00
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$673.84 / $673.84 / $673.84