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New York rates for HCPCS 42104

Excision, lesion of palate, uvula; without closure

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$186.76 / $2,884.50 / $10,170.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$132.88 / $211.33 / $395.72
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,373.00 / $4,085.00 / $8,281.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$148.57 / $187.73 / $471.52
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$189.31 / $189.31 / $6,213.00
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$189.31 / $189.31 / $309.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$226.85 / $226.85 / $4,612.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.59 / $283.70 / $680.99
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $203.87 / $352.85
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$224.98 / $291.74 / $435.67
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$200.77 / $200.77 / $200.77
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$182.96 / $232.00 / $404.37
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,323.39 / $3,323.39 / $3,323.39
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$226.85 / $555.00 / $16,269.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.00 / $300.29 / $650.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,585.00 / $3,847.00 / $9,047.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$168.18 / $240.92 / $546.84
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.62 / $162.62 / $474.57
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.77 / $292.20 / $437.27