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Missouri rates for HCPCS 42104

Excision, lesion of palate, uvula; without closure

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$233.58 / $3,067.00 / $7,365.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.00 / $201.23 / $319.91
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$862.00 / $1,785.00 / $4,773.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.94 / $204.68 / $335.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,213.00 / $2,213.00 / $2,213.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$142.83 / $229.78 / $423.84
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$129.25 / $230.43 / $548.87
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$210.25 / $426.21 / $1,619.04
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,380.00 / $2,363.00 / $10,256.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$201.38 / $296.00 / $517.78