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Washington rates for HCPCS G0390

Trauma response team associated with hospital critical care service

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.59 / $4,073.80 / $7,079.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $316.23 / $3,162.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.57 / $64.57 / $64.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $676.08 / $676.08
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$977.24 / $3,311.31 / $5,370.32
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $60.26
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,318.26 / $3,311.31 / $3,311.31
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $489.78 / $489.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,466.84 / $4,897.79 / $6,760.83