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Kentucky rates for HCPCS 42104

Excision, lesion of palate, uvula; without closure

Facilitymedian $2,138 · 10th–90th $204–$5,0120%10%10th90th$2,138Professionalmedian $195 · 10th–90th $129–$3470%10%10th90th$195$50.0$100.0$200.0$500.0$1.0K$2.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$177.83 / $323.59 / $5,495.41
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$128.82 / $204.17 / $371.54
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$257.04 / $257.04 / $257.04
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,479.11 / $2,398.83 / $4,365.16
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$123.03 / $173.78 / $234.42
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$114.82 / $141.25 / $199.53
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$112.20 / $154.88 / $199.53
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$34.67 / $229.09 / $229.09
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$138.04 / $229.09 / $1,023.29
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $97.72
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$436.52 / $2,089.30 / $5,495.41
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$128.82 / $199.53 / $316.23