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Connecticut rates for HCPCS 42104

Exc Lesion Palate Uvula W/O Closure

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$428.19 / $5,297.00 / $8,031.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.22 / $213.66 / $375.59
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,734.00 / $6,273.00 / $10,956.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.09 / $315.29 / $513.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$232.84 / $370.81 / $1,020.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.80 / $277.39 / $542.34
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$837.20 / $1,077.65 / $1,552.85
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$262.48 / $347.30 / $614.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$911.00 / $5,307.00 / $8,879.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$195.02 / $333.73 / $837.45