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Florida rates for HCPCS 42104

Excision, lesion of palate, uvula; without closure

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$158.87 / $3,751.00 / $11,550.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.53 / $185.16 / $301.98
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$225.14 / $225.14 / $247.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$147.99 / $176.18 / $2,213.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.76 / $215.20 / $376.15
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,672.00 / $12,190.00 / $22,833.00
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.96 / $161.58 / $244.39
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.56 / $211.65 / $325.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$659.00 / $3,523.00 / $7,044.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.49 / $218.94 / $399.93
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.68 / $165.96 / $165.96