go back

Alabama rates for HCPCS 42104

Excision, lesion of palate, uvula; without closure

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$776.25 / $1,445.44 / $2,238.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $213.80 / $416.87
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $208.93 / $208.93
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,981.07 / $4,786.30 / $6,456.54
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $186.21 / $275.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $218.78 / $467.74
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.96 / $1,737.80 / $3,388.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $181.97 / $309.03