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Alabama rates for HCPCS 42104

Exc Lesion Palate Uvula W/O Closure

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$422.79 / $1,223.00 / $1,896.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.68 / $208.97 / $422.79
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,872.40 / $4,699.34 / $6,322.12
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.44 / $173.14 / $249.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.15 / $216.06 / $575.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$625.00 / $1,783.00 / $3,673.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.35 / $212.57 / $358.02