Removal of Part of the Roof of the Mouth

Wyoming rates for HCPCS 42120

Removes a section of the palate, the roof of the mouth, or takes out a large growth located there along with surrounding tissue. It is done for tumors and for other damaged or diseased tissue that cannot be treated by lesser means. The resulting gap may be reconstructed, or fitted with a plate that seals the mouth from the nasal cavity.

Rates data updated July 2026.

How much rates vary

Facilitymedian $10,471 · 10th to 90th $2,630 to $12,023

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier	Facility/Professional	Modifier	Typical Low	Median	Typical High
United Setting Facility Modifier Global Typical Low $2,630.27 Median $10,471.29 Typical High $12,022.64	Facility	Global	$2,630.27	$10,471.29	$12,022.64