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North Dakota rates for HCPCS 42104

Exc Lesion Palate Uvula W/O Closure

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$136.66 / $219.67 / $2,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.25 / $195.73 / $271.50
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.58 / $365.98 / $547.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$180.33 / $347.20 / $583.22
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$136.66 / $227.50 / $413.38
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.82 / $407.86 / $1,619.04
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$681.00 / $681.00 / $6,291.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.82 / $350.98 / $505.13