go back

Montana rates for HCPCS 42107

Excision, lesion of palate, uvula; with local flap closure

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $467.74 / $933.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$512.86 / $512.86 / $512.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $512.86 / $1,348.96
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$549.54 / $758.58 / $831.76
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $758.58 / $831.76
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$363.08 / $562.34 / $977.24
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $676.08 / $1,122.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $616.60 / $870.96