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Louisiana rates for HCPCS 43641

Vgtmy W/Pyloroplasty W/Wo Gastrost Parietal Cell

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
$1,094.66 / $1,737.97 / $1,986.60
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,377.81 / $1,750.63 / $2,109.01
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $1,105.98 / $1,105.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$488.00 / $675.00 / $1,373.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,123.39 / $1,611.56 / $2,614.96
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
$1,051.70 / $1,431.83 / $2,534.21