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Louisiana rates for HCPCS 42955

Pharyngostomy (fistulization of pharynx, external for feeding)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$660.69 / $1,659.59 / $4,168.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $831.76 / $1,412.54
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,288.25 / $2,951.21 / $6,606.93
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $1,023.29 / $1,230.27
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $630.96 / $676.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$616.60 / $812.83 / $1,258.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $954.99 / $1,584.89
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
$630.96 / $831.76 / $1,348.96