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West Virginia rates for HCPCS 42104

Excision, lesion of palate, uvula; without closure

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$130.06 / $205.63 / $1,600.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.68 / $189.97 / $253.18
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$129.29 / $141.47 / $169.03
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.29 / $150.25 / $218.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$226.85 / $226.85 / $226.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$142.83 / $227.20 / $559.66
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,099.17 / $1,099.17 / $1,099.17
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,092.48 / $9,092.48 / $9,092.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.21 / $221.88 / $346.55