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Arizona rates for HCPCS 42104

Excision, lesion of palate, uvula; without closure

Facilitymedian $2,042 · 10th–90th $182–$5,6230%5%10th90th$2,042Professionalmedian $219 · 10th–90th $132–$5500%10%10th90th$219$50.0$200.0$1.0K$5.0K

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
$1,445.44 / $3,090.30 / $6,760.83
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$131.83 / $218.78 / $562.34
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$588.84 / $2,290.87 / $4,265.80
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$158.49 / $251.19 / $457.09
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$151.36 / $165.96 / $446.68
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$131.83 / $208.93 / $407.38
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$131.83 / $213.80 / $630.96
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$186.21 / $295.12 / $1,621.81
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,000.00 / $2,041.74 / $4,677.35
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$123.03 / $194.98 / $338.84