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Maryland rates for HCPCS 42104

Exc Lesion Palate Uvula W/O Closure

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$152.75 / $266.06 / $9,255.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.63 / $211.33 / $409.37
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$132.16 / $146.84 / $232.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$139.13 / $162.12 / $599.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.94 / $224.94 / $420.70
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$191.36 / $262.52 / $382.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$418.00 / $453.00 / $1,330.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.64 / $242.11 / $428.23
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.32 / $258.89 / $319.64