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Louisiana rates for HCPCS 42650

Dilation Salivary Duct

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$105.82 / $1,236.00 / $3,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.03 / $80.64 / $119.41
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.41 / $2,092.69 / $3,094.58
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.87 / $97.16 / $125.91
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $52.08 / $52.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.95 / $488.00 / $575.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.93 / $90.59 / $148.97
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
$66.00 / $95.00 / $154.61