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Utah rates for HCPCS 42180

Repair, laceration of palate; up to 2 cm

Facilitymedian $3,020 · 10th–90th $309$4,5710%10%10th90th$3,020Professionalmedian $257 · 10th–90th $178$5370%10%10th90th$257$50.0$100.0$200.0$500.0$1.0K$2.0K$5.0K

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
$309.03 / $3,162.28 / $4,570.88
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$177.83 / $251.19 / $537.03
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$190.55 / $281.84 / $489.78
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $190.55
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$724.44 / $1,000.00 / $1,513.56
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$251.19 / $354.81 / $478.63
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$213.80 / $371.54 / $501.19
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$234.42 / $331.13 / $457.09
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$660.69 / $4,466.84 / $5,128.61
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$173.78 / $245.47 / $407.38