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Louisiana rates for HCPCS 43775

Laps Gstrc Rstrictiv Px Longitudinal Gastrectomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$900.00 / $2,636.00 / $9,355.50
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,858.24 / $13,474.46 / $19,870.88
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $979.33 / $979.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$488.00 / $675.00 / $1,264.70
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$123.14 / $123.14 / $123.14
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,100.00 / $5,780.00 / $13,506.00