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Louisiana rates for HCPCS 42200

Palatop Cl Palate Soft&/Hard Palate Only

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$816.00 / $2,447.00 / $5,150.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$830.37 / $1,308.90 / $1,490.20
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,588.66 / $8,437.98 / $12,368.44
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,039.86 / $1,262.70 / $1,556.76
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $821.13 / $2,807.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$725.00 / $1,043.05 / $4,042.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$811.00 / $1,197.63 / $1,838.01
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,100.00 / $4,717.00 / $10,959.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$787.04 / $1,111.69 / $1,898.34