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Oklahoma rates for HCPCS 42104

Exc Lesion Palate Uvula W/O Closure

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$838.00 / $3,145.00 / $8,400.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.88 / $194.00 / $230.78
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,383.45 / $5,336.68 / $8,463.04
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$152.33 / $204.75 / $281.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.30 / $223.58 / $324.27
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$142.51 / $228.56 / $1,473.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$189.80 / $262.08 / $1,619.04
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$498.00 / $1,928.00 / $4,083.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$179.01 / $234.61 / $401.30