go back

Kentucky rates for HCPCS 42104

Excision, lesion of palate, uvula; without closure

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.04 / $259.70 / $8,229.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.04 / $194.00 / $281.31
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,258.00 / $2,316.00 / $4,229.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.51 / $160.34 / $263.79
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$125.76 / $172.61 / $199.12
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.29 / $175.61 / $278.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$226.85 / $226.85 / $226.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.18 / $209.34 / $382.97
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $210.51
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$523.00 / $794.00 / $5,301.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$189.29 / $243.41 / $399.39