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Montana rates for HCPCS 42104

Excision, lesion of palate, uvula; without closure

Facilitymedian $269 · 10th–90th $186–$4470%20%10th90th$269Professionalmedian $214 · 10th–90th $129–$4170%20%10th90th$214$1.0$10.0$100.0$1.0K$10.0K$100.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.89 / $0.89 / $0.89
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$128.82 / $208.93 / $416.87
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$46,773.51 / $75,857.76 / $95,499.26
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$213.80 / $213.80 / $346.74
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$213.80 / $213.80 / $213.80
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$144.54 / $234.42 / $575.44
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$234.42 / $354.81 / $407.38
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$234.42 / $354.81 / $407.38
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$154.88 / $257.04 / $446.68
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$85.11 / $309.03 / $549.54
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$275.42 / $275.42 / $6,760.83
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$186.21 / $275.42 / $426.58