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Louisiana rates for HCPCS 43644

Laparoscopy, surgical, gastric restrictive procedure; with gastric bypass and Roux-en-Y gastroenterostomy (roux limb 150 cm or less)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$933.25 / $3,235.94 / $13,803.84
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,677.35 / $8,511.38 / $12,022.64
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $1,584.89 / $1,584.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489.78 / $812.83 / $2,951.21
Cigna
Facility/Professional
Facility
Modifier
22
Low / Median / High Price
$3,548.13 / $3,548.13 / $3,548.13
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$295.12 / $295.12 / $295.12
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,122.02 / $6,165.95 / $12,302.69