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Louisiana rates for HCPCS 43635

Vagotomy when performed with partial distal gastrectomy (List separately in addition to code[s] for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$188.36 / $2,562.00 / $3,884.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.70 / $164.20 / $188.36
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.35 / $163.08 / $198.03
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $98.83 / $98.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$127.87 / $525.00 / $815.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.60 / $155.21 / $253.36
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
$98.70 / $141.31 / $239.89