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Nebraska rates for HCPCS 42104

Excision, lesion of palate, uvula; without closure

Facilitymedian $3,715 · 10th–90th $204–$8,5110%10%10th90th$3,715Professionalmedian $224 · 10th–90th $132–$4900%20%10th90th$224$10.0$50.0$200.0$1.0K$5.0K$20.0K

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
$446.68 / $6,025.60 / $12,589.25
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$128.82 / $218.78 / $446.68
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,128.61 / $6,606.93 / $12,882.50
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$154.88 / $251.19 / $407.38
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$158.49 / $354.81 / $645.65
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$141.25 / $234.42 / $467.74
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$234.42 / $457.09 / $1,621.81
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$295.12 / $416.87 / $616.60
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$263.03 / $407.38 / $524.81
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $234.42 / $575.44
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,630.27 / $4,073.80 / $6,760.83
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$177.83 / $281.84 / $501.19