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Louisiana rates for HCPCS 43621

Gastrectomy, total; with Roux-en-Y reconstruction

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$933.25 / $3,311.31 / $4,365.16
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $2,041.74 / $2,041.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489.78 / $812.83 / $3,890.45
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$371.54 / $1,174.90 / $5,754.40