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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
$398.11 / $1,288.25 / $4,365.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $234.42 / $457.09
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,290.87 / $4,168.69 / $6,025.60
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $269.15 / $371.54
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $138.04 / $147.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$199.53 / $489.78 / $812.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $263.03 / $446.68
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$467.74 / $1,445.44 / $4,786.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $223.87 / $371.54