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Texas rates for HCPCS 42104

Excision, lesion of palate, uvula; without closure

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.96 / $2,754.23 / $7,413.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $208.93 / $371.54
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $208.93 / $257.04
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$144.54 / $234.42 / $1,000.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $199.53 / $316.23
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.23 / $3,090.30 / $3,090.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$177.83 / $204.17 / $251.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $234.42 / $426.58
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.95 / $56.23 / $1,995.26
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,548.82 / $1,819.70 / $1,819.70
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.04 / $229.09 / $575.44
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $208.93 / $380.19
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $186.21
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $436.52 / $575.44
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.90 / $223.87 / $398.11
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $239.88 / $446.68
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.08 / $2,511.89 / $4,897.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $190.55 / $309.03
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $208.93 / $239.88