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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
$762.00 / $1,958.00 / $4,697.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,790.86 / $13,722.46 / $20,104.22
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $1,042.18 / $1,042.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$488.00 / $675.00 / $1,281.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,100.00 / $5,780.00 / $13,506.00