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Louisiana rates for HCPCS 42104

Excision, lesion of palate, uvula; without closure

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$288.72 / $1,520.00 / $3,685.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.22 / $209.80 / $325.04
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,045.03 / $4,035.80 / $5,836.30
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.97 / $246.98 / $345.09
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$119.39 / $3,098.76 / $3,098.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$205.71 / $615.00 / $820.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.33 / $230.95 / $382.29
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$500.00 / $1,791.00 / $6,544.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.54 / $251.86 / $425.14