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Louisiana rates for HCPCS 42330

Sialolithotomy; submandibular (submaxillary), sublingual or parotid, uncomplicated, intraoral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$311.27 / $1,300.00 / $3,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.43 / $239.17 / $352.06
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$202.74 / $4,081.90 / $6,007.08
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$219.73 / $286.91 / $375.77
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $146.61 / $146.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$200.34 / $488.00 / $815.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.19 / $261.42 / $420.64
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$470.00 / $1,600.00 / $4,123.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$198.59 / $275.16 / $460.22