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Utah rates for HCPCS G0390

Trauma Response With Hospital Critical

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,377.93 / $5,848.04 / $8,424.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.22 / $318.22 / $6,277.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$673.84 / $673.84 / $673.84
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $45.00 / $60.00