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Louisiana rates for HCPCS 42215

Palatoplasty Cleft Palate Major Revj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$900.00 / $2,859.00 / $5,420.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$651.42 / $989.05 / $1,236.31
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,120.78 / $8,437.98 / $12,356.34
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$787.12 / $1,000.10 / $1,214.41
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $631.15 / $2,807.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$725.00 / $1,424.00 / $4,042.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$623.21 / $918.65 / $1,389.42
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
$596.49 / $872.36 / $1,444.99