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South Dakota rates for HCPCS G0390

Trauma response team associated with hospital critical care service

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,085.84 / $1,085.84 / $1,085.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.22 / $1,270.80 / $6,277.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$673.84 / $673.84 / $673.84
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$313.25 / $1,270.80 / $3,481.99