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Louisiana rates for HCPCS 43502

Gastrotomy; with suture repair of pre-existing esophagogastric laceration (eg, Mallory-Weiss)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$900.00 / $2,562.00 / $3,884.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,386.45 / $2,207.31 / $2,524.96
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,744.87 / $2,217.01 / $2,678.01
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $1,389.62 / $1,389.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$488.00 / $675.00 / $1,739.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,436.62 / $2,052.46 / $3,320.79
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$385.00 / $1,261.00 / $7,168.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,333.27 / $1,847.30 / $3,216.50