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Washington, DC rates for HCPCS 42104

Exc Lesion Palate Uvula W/O Closure

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$266.17 / $4,047.00 / $4,601.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.57 / $187.40 / $266.17
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.34 / $146.84 / $1,686.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.94 / $229.15 / $579.16
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$230.92 / $243.07 / $513.28
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$808.00 / $6,580.00 / $26,408.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$176.87 / $237.52 / $623.95