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Louisiana rates for HCPCS 43770

Laparoscopy, surgical, gastric restrictive procedure; placement of adjustable gastric restrictive device (eg, gastric band and subcutaneous port components)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.25 / $2,511.89 / $4,897.79
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,912.51 / $14,125.38 / $19,952.62
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $1,047.13 / $1,047.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489.78 / $812.83 / $1,905.46
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,122.02 / $6,456.54 / $16,218.10