go back

Rhode Island rates for HCPCS 42104

Excision, lesion of palate, uvula; without closure

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,089.30 / $2,754.23 / $3,981.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $208.93 / $416.87
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $218.78 / $363.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.42 / $275.42 / $588.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $281.84 / $501.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$794.33 / $2,398.83 / $6,165.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $213.80 / $380.19