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Mississippi rates for HCPCS 42104

Exc Lesion Palate Uvula W/O Closure

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$195.08 / $1,250.00 / $1,831.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.24 / $199.80 / $409.86
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$201.27 / $201.27 / $201.27
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$193.53 / $295.00 / $295.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$133.66 / $142.63 / $2,202.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.97 / $222.53 / $381.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $32.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$610.00 / $1,527.00 / $5,819.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.04 / $250.61 / $547.11