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Louisiana rates for HCPCS 43865

Revision of gastrojejunal anastomosis (gastrojejunostomy) with reconstruction, with or without partial gastrectomy or intestine resection; with vagotomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$900.00 / $2,694.00 / $3,884.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,553.44 / $2,477.77 / $2,835.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,955.14 / $2,484.17 / $3,003.79
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $1,551.53 / $1,551.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$488.00 / $675.00 / $1,948.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,608.43 / $2,308.41 / $3,728.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$385.00 / $1,261.00 / $7,168.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,503.44 / $2,071.83 / $3,619.97