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Louisiana rates for HCPCS 43886

Gastric restrictive procedure, open; revision of subcutaneous port component only

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$512.86 / $1,288.25 / $3,890.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $398.11 / $691.83
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.25 / $3,019.95 / $7,079.46
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $512.86 / $602.56
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $363.08 / $1,905.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489.78 / $575.44 / $2,884.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $467.74 / $870.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.25 / $3,162.28 / $8,511.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $389.05 / $676.08