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Oklahoma rates for HCPCS 42104

Excision, lesion of palate, uvula; without closure

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$794.33 / $2,089.30 / $6,606.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $204.17 / $363.08
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $208.93 / $208.93
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,162.28 / $5,011.87 / $8,128.31
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $204.17 / $288.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $218.78 / $323.59
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.04 / $229.09 / $2,290.87
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $251.19 / $1,621.81
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.44 / $2,089.30 / $4,073.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $186.21 / $269.15