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Georgia rates for HCPCS 42104

Excision, lesion of palate, uvula; without closure

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$234.42 / $4,168.69 / $7,413.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $213.80 / $398.11
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $208.93 / $389.05
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.08 / $2,089.30 / $4,677.35
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $275.42 / $436.52
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $123.03 / $123.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$169.82 / $501.19 / $741.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $239.88 / $446.68
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $245.47 / $426.58
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.01 / $457.09 / $575.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$524.81 / $2,454.71 / $5,248.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $223.87 / $398.11