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Rhode Island rates for HCPCS 42104

Excision, lesion of palate, uvula; without closure

Facilitymedian $2,399 · 10th–90th $794–$5,4950%20%10th90th$2,399Professionalmedian $214 · 10th–90th $132–$3630%10%10th90th$214$100.0$200.0$500.0$1.0K$2.0K$5.0K

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
$2,089.30 / $2,754.23 / $3,981.07
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$131.83 / $208.93 / $346.74
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$138.04 / $218.78 / $363.08
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$275.42 / $275.42 / $588.84
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$144.54 / $275.42 / $524.81
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$794.33 / $2,398.83 / $6,165.95
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$134.90 / $213.80 / $354.81