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Arkansas rates for HCPCS 42104

Excision, lesion of palate, uvula; without closure

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.32 / $1,074.00 / $3,109.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.22 / $209.80 / $316.47
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,893.49 / $2,893.49 / $3,298.58
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.27 / $212.16 / $304.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.97 / $490.00 / $1,734.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$146.09 / $230.84 / $369.75
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$505.00 / $1,230.00 / $5,115.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$179.01 / $230.47 / $408.86