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Louisiana rates for HCPCS 42120

Rescj Palate/Extensive Rescj Lesion

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$739.00 / $2,397.00 / $4,050.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,588.66 / $8,333.11 / $11,965.29
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $887.47 / $2,807.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$725.00 / $1,010.00 / $4,042.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$746.00 / $2,415.00 / $6,661.00