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Kansas rates for HCPCS 42104

Excision, lesion of palate, uvula; without closure

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$261.17 / $3,701.00 / $10,439.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.56 / $218.61 / $358.72
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$189.91 / $189.91 / $189.91
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$184.61 / $184.61 / $280.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$800.00 / $1,260.00 / $1,260.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.56 / $235.82 / $382.96
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$140.97 / $229.90 / $464.31
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$211.40 / $319.37 / $1,619.04
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$816.00 / $2,303.00 / $3,918.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.95 / $256.37 / $436.33