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Louisiana rates for HCPCS 43775

Laparoscopy, surgical, gastric restrictive procedure; longitudinal gastrectomy (ie, sleeve gastrectomy)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$933.25 / $3,467.37 / $14,791.08
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,943.28 / $13,489.63 / $19,952.62
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $977.24 / $977.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489.78 / $812.83 / $1,905.46
Cigna
Facility/Professional
Facility
Modifier
22
Low / Median / High Price
$2,290.87 / $2,290.87 / $2,290.87
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$190.55 / $190.55 / $190.55
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,122.02 / $6,165.95 / $12,302.69