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Louisiana rates for HCPCS 43640

Vgtmy W/Pylorplsty W/Wo Gastrost Truncal/Slctv

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
$1,025.75 / $1,697.87 / $1,941.95
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,362.07 / $1,730.64 / $2,075.37
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $1,094.50 / $1,094.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$488.00 / $675.00 / $1,357.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,111.70 / $1,592.84 / $2,579.42
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
$1,049.90 / $1,403.62 / $2,473.82