go back

Vermont rates for HCPCS 42104

Exc Lesion Palate Uvula W/O Closure

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.22 / $194.00 / $722.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$168.11 / $305.82 / $800.80
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$196.99 / $309.32 / $800.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$225.39 / $310.35 / $982.89