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Wyoming rates for HCPCS 42104

Excision, lesion of palate, uvula; without closure

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $204.17 / $338.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $575.44 / $870.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $275.42 / $501.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,288.25 / $2,754.23 / $5,370.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $281.84 / $588.84