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Minnesota rates for HCPCS 42104

Excision, lesion of palate, uvula; without closure

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.82 / $213.80 / $1,047.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $208.93 / $416.87
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$831.76 / $6,165.95 / $14,791.08
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $416.87 / $741.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$512.86 / $812.83 / $1,949.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $478.63 / $933.25
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.96 / $776.25 / $1,548.82
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $489.78 / $870.96
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.36 / $269.15 / $630.96
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $436.52 / $1,621.81
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,445.44 / $3,467.37 / $7,079.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $302.00 / $645.65