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Texas rates for HCPCS G0390

Trauma Response With Hospital Critical

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$286.39 / $3,130.86 / $7,253.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.22 / $318.22 / $1,946.66
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$976.72 / $2,691.27 / $4,787.85
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,152.99 / $5,152.99 / $5,152.99
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
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$318.22 / $318.22 / $1,270.80
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 / $673.84
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.64 / $60.64 / $84.90