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Louisiana rates for HCPCS 42500

Plstc Rpr Salivary Dux Sialodochoplasty Prim

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$525.99 / $1,850.00 / $3,813.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,415.20 / $6,541.42 / $10,466.95
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $305.23 / $2,807.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$582.25 / $731.00 / $4,042.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$746.00 / $2,415.00 / $6,661.00