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Delaware rates for HCPCS 42104

Exc Lesion Palate Uvula W/O Closure

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,601.13 / $3,949.00 / $6,907.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.68 / $194.00 / $266.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.88 / $162.88 / $1,881.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.78 / $198.11 / $336.77
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$222.11 / $222.11 / $222.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$414.00 / $1,320.00 / $1,320.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$176.87 / $220.76 / $500.63