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Virginia rates for HCPCS G0390

Trauma response team associated with hospital critical care service

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,828.02 / $7,771.84 / $8,976.36
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
$0.02 / $60.64 / $169.84
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
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$318.22 / $444.81 / $751.73
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.11 / $81.11 / $180.00
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$793.00 / $793.00 / $793.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$793.00 / $793.00 / $793.00