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Louisiana rates for HCPCS 42335

Sialolithotomy Submndblr Submax Comp Intraoral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$519.00 / $1,850.00 / $3,945.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$267.44 / $400.19 / $608.37
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$366.24 / $366.24 / $366.24
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,045.03 / $4,081.90 / $6,007.08
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$349.22 / $456.04 / $678.30
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $233.35 / $280.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$403.36 / $725.00 / $950.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$274.60 / $446.98 / $742.36
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$746.00 / $2,415.00 / $6,661.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$333.46 / $458.51 / $797.27