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Louisiana rates for HCPCS 42505

Plastic repair of salivary duct, sialodochoplasty; secondary or complicated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$632.99 / $2,160.00 / $4,050.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,588.66 / $8,437.98 / $12,368.44
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $400.34 / $2,807.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$725.00 / $901.00 / $4,042.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,100.00 / $4,717.00 / $10,959.00