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Louisiana rates for HCPCS 42220

Palatoplasty for cleft palate; secondary lengthening procedure

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$811.53 / $2,418.00 / $4,392.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$502.35 / $811.53 / $921.76
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
$647.66 / $775.88 / $950.93
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $524.41 / $2,807.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$652.83 / $1,026.00 / $4,042.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$506.12 / $740.24 / $1,137.81
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
$490.53 / $676.28 / $1,204.96