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Massachusetts rates for HCPCS 42104

Excision, lesion of palate, uvula; without closure

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$223.87 / $2,691.53 / $3,801.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $218.78 / $575.44
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $1,905.46 / $5,623.41
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $263.03 / $1,548.82
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.18 / $162.18 / $371.54
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $234.42 / $457.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$263.03 / $588.84 / $645.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $275.42 / $549.54
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.82 / $501.19 / $7,079.46
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $338.84 / $489.78
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$616.60 / $3,162.28 / $8,511.38
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $269.15 / $562.34
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $1,905.46 / $5,623.41
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $257.04 / $1,548.82
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.08 / $3,548.13 / $8,511.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $263.03 / $549.54