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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
$398.11 / $1,548.82 / $4,168.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $208.93 / $371.54
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $208.93 / $208.93
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,290.87 / $4,168.69 / $5,888.44
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $239.88 / $338.84
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.23 / $3,090.30 / $3,090.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.17 / $616.60 / $812.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $239.88 / $407.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$467.74 / $1,445.44 / $4,786.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $199.53 / $331.13