go back

Pennsylvania rates for HCPCS 42180

Repair Laceration Palate <2 Cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$274.98 / $2,070.00 / $7,799.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.79 / $226.97 / $310.64
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,299.82 / $2,746.00 / $13,822.74
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$248.55 / $257.93 / $427.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$320.00 / $446.00 / $816.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$185.76 / $265.77 / $427.26
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$422.04 / $422.04 / $422.04
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$299.33 / $397.24 / $507.55
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,997.56 / $1,997.56 / $1,997.56
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$617.00 / $2,326.00 / $7,799.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$182.06 / $261.52 / $1,059.00
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$238.10 / $238.10 / $238.10
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.00 / $292.30 / $679.70
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$317.00 / $432.61 / $1,113.00
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$189.55 / $268.48 / $434.72
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$175.60 / $183.46 / $249.86
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$178.74 / $211.63 / $267.58
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $541.00 / $3,742.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.54 / $284.64 / $490.73