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Washington, DC rates for HCPCS 42104

Excision, lesion of palate, uvula; without closure

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$158.49 / $4,073.80 / $4,570.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $213.80 / $389.05
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $154.88 / $2,570.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $218.78 / $575.44
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $251.19 / $457.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$812.83 / $6,606.93 / $26,302.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $204.17 / $389.05