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Louisiana rates for HCPCS 43634

Gastrectomy, partial, distal; with formation of intestinal pouch

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$933.25 / $3,162.28 / $4,365.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,905.46 / $2,290.87 / $3,981.07
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,011.87 / $8,511.38 / $12,022.64
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,630.27 / $2,951.21 / $3,630.78
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $1,905.46 / $1,905.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489.78 / $812.83 / $3,630.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,659.59 / $2,818.38 / $4,897.79
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$371.54 / $1,174.90 / $5,754.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,737.80 / $2,290.87 / $4,073.80