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Iowa rates for HCPCS 42104

Excision, lesion of palate, uvula; without closure

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$363.08 / $3,162.28 / $7,413.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $223.87 / $812.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.19 / $380.19 / $380.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $316.23 / $645.65
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $288.40 / $549.54
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$169.82 / $346.74 / $5,495.41
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $407.38 / $1,621.81
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $363.08 / $575.44
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.19 / $380.19 / $380.19
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $426.58 / $588.84
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $478.63 / $575.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,570.40 / $5,248.07 / $8,709.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $251.19 / $501.19
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $323.59 / $489.78