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North Carolina rates for HCPCS 42104

Exc Lesion Palate Uvula W/O Closure

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$130.88 / $325.83 / $6,953.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.88 / $209.80 / $358.72
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$167.64 / $184.40 / $312.93
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.57 / $289.85 / $547.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$172.53 / $251.61 / $530.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.97 / $251.44 / $468.00
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$130.88 / $211.80 / $347.19
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$179.03 / $250.88 / $542.41
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$179.90 / $214.10 / $508.10
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$393.00 / $650.00 / $4,824.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$179.01 / $241.18 / $570.96
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $934.92 / $934.92
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$987.44 / $1,560.08 / $1,823.40