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Louisiana rates for HCPCS 42550

Injection Procedure Sialography

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$203.58 / $1,273.00 / $3,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.64 / $138.49 / $229.54
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$164.47 / $286.76 / $629.07
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.38 / $136.44 / $237.88
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $51.60 / $51.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.05 / $112.05 / $112.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.19 / $125.79 / $259.43
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$210.00 / $580.00 / $1,506.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.18 / $182.74 / $356.72