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New Mexico rates for HCPCS 42104

Excision, lesion of palate, uvula; without closure

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$235.72 / $5,000.27 / $7,838.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.63 / $194.00 / $305.69
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,737.86 / $6,181.55 / $45,000.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.68 / $179.41 / $305.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$175.89 / $175.89 / $226.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.18 / $238.18 / $376.87
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $60.63 / $322.45
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$132.19 / $199.34 / $286.27
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.35 / $275.60 / $465.66
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$755.00 / $3,085.00 / $14,184.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$220.16 / $303.81 / $458.58