go back

Louisiana rates for HCPCS 42650

Dilation salivary duct

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.15 / $1,288.25 / $3,715.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.95 / $75.86 / $134.90
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,174.90 / $2,137.96 / $3,090.30
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $95.50 / $117.49
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $42.66 / $52.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.26 / $489.78 / $575.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.88 / $91.20 / $204.17
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$467.74 / $1,412.54 / $3,981.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.29 / $79.43 / $128.82