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Nationwide rates for HCPCS 42104

Exc Lesion Palate Uvula W/O Closure

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$225.69 / $2,605.00 / $7,205.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.88 / $203.58 / $358.72
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,449.90 / $3,693.00 / $5,962.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$142.81 / $207.99 / $356.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$208.56 / $265.77 / $952.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$146.22 / $236.05 / $465.70
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$822.00 / $2,551.00 / $6,244.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$189.29 / $269.58 / $470.84