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Arkansas rates for HCPCS 42104

Excision, lesion of palate, uvula; without closure

Facilitymedian $1,288 · 10th–90th $178–$2,8840%10%10th90th$1,288Professionalmedian $204 · 10th–90th $129–$3240%10%10th90th$204$100.0$200.0$500.0$1.0K$2.0K$5.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$169.82 / $1,071.52 / $2,041.74
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$128.82 / $204.17 / $323.59
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,884.03 / $2,884.03 / $3,981.07
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$144.54 / $190.55 / $302.00
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$158.49 / $489.78 / $1,737.80
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$144.54 / $229.09 / $371.54
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$562.34 / $1,548.82 / $5,370.32
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$128.82 / $204.17 / $346.74