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Nebraska rates for HCPCS 42104

Excision, lesion of palate, uvula; without closure

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,653.00 / $5,463.36 / $13,841.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.17 / $199.34 / $367.04
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,121.08 / $7,424.13 / $13,028.86
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$132.59 / $253.58 / $411.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$209.08 / $413.74 / $629.12
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$135.58 / $228.26 / $468.47
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$300.98 / $505.13 / $1,619.04
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$267.25 / $405.72 / $589.69
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$276.00 / $413.74 / $578.02
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.00 / $287.39 / $602.70
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,044.00 / $4,128.71 / $7,772.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$305.89 / $454.85 / $571.00