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Louisiana rates for HCPCS G0390

Trauma response team associated with hospital critical care service

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$318.22 / $570.91 / $6,019.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.22 / $318.22 / $1,963.12
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,133.69 / $2,043.76 / $2,780.60
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