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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
$186.21 / $2,691.53 / $4,365.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $120.23 / $218.78
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $154.88 / $194.98
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $97.72 / $97.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$190.55 / $524.81 / $812.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $154.88 / $281.84
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
$95.50 / $131.83 / $213.80