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New York rates for HCPCS 42180

Repair, laceration of palate; up to 2 cm

Facilitymedian $3,162 · 10th–90th $302–$7,4130%5%10%10th90th$3,162Professionalmedian $269 · 10th–90th $182–$6760%10%10th90th$269$100.0$500.0$2.0K$10.0K$50.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$281.84 / $3,019.95 / $7,762.47
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$181.97 / $251.19 / $537.03
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,819.70 / $3,630.78 / $5,011.87
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$190.55 / $223.87 / $478.63
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$257.04 / $1,258.93 / $4,073.80
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$257.04 / $257.04 / $363.08
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$316.23 / $1,230.27 / $50,118.72
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$190.55 / $331.13 / $758.58
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$125.89 / $204.17 / $512.86
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$295.12 / $380.19 / $575.44
Excellus BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$234.42 / $234.42 / $234.42
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$194.98 / $338.84 / $537.03
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$190.55 / $50,118.72 / $75,857.76
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$309.03 / $398.11 / $676.08
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$870.96 / $2,344.23 / $4,786.30
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$186.21 / $380.19 / $1,000.00
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$154.88 / $223.87 / $676.08
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$204.17 / $316.23 / $537.03