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Louisiana rates for HCPCS 0647T

Insj Gastrostomy Tube Perq W/Magnetic Gastropexy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$762.00 / $1,850.00 / $3,884.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$574.04 / $885.49 / $1,009.46
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,292.74 / $2,770.54 / $4,102.89
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$831.66 / $831.66 / $831.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$488.00 / $675.00 / $1,197.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,459.62 / $1,459.62 / $4,328.07
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$464.00 / $1,429.00 / $4,010.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$805.25 / $1,143.91 / $1,894.70