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Rhode Island rates for HCPCS 42104

Exc Lesion Palate Uvula W/O Closure

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,090.73 / $2,778.87 / $3,955.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.68 / $194.00 / $270.58
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.69 / $248.24 / $292.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.92 / $275.92 / $593.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$168.11 / $280.24 / $465.70
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,395.00 / $2,384.00 / $6,188.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$171.15 / $273.35 / $475.66