go back

Louisiana rates for HCPCS 42665

Ligation Salivary Duct Intraoral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$457.21 / $2,694.00 / $5,040.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$209.59 / $322.77 / $491.59
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,714.38 / $4,829.18 / $6,948.45
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.22 / $367.06 / $587.28
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $192.38 / $1,342.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$367.72 / $1,424.00 / $1,932.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$226.01 / $372.04 / $641.29
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$746.00 / $2,415.00 / $6,661.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$283.52 / $386.72 / $674.29