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Louisiana rates for HCPCS 42810

Excision branchial cleft cyst or vestige, confined to skin and subcutaneous tissues

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$524.81 / $2,041.74 / $5,370.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $389.05 / $691.83
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $524.81 / $524.81
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,290.87 / $4,570.88 / $6,760.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $457.09 / $616.60
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $251.19 / $1,348.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$478.63 / $812.83 / $2,041.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $436.52 / $741.31
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$831.76 / $2,398.83 / $6,606.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $380.19 / $630.96