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Vermont rates for HCPCS 42104

Excision, lesion of palate, uvula; without closure

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $213.80 / $446.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $288.40 / $794.33
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $309.03 / $562.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $234.42 / $501.19