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Louisiana rates for HCPCS 42600

Closure salivary fistula

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$477.18 / $1,230.00 / $3,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$348.98 / $520.88 / $738.82
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,714.38 / $4,081.90 / $6,007.08
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$475.02 / $608.41 / $860.49
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $311.70 / $1,342.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$488.00 / $535.00 / $1,932.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$355.64 / $571.85 / $943.64
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$470.00 / $1,429.00 / $4,010.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$429.02 / $587.69 / $999.02