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Louisiana rates for HCPCS 42225

Palatop Cl Palate Attachment Pharyngeal Flap

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$860.00 / $2,447.00 / $4,392.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$890.56 / $1,335.36 / $1,509.49
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
$1,082.02 / $1,311.00 / $1,598.62
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $938.36 / $2,807.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$725.00 / $1,110.75 / $4,042.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$826.84 / $1,244.44 / $1,912.81
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
$815.34 / $1,153.75 / $1,978.17