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Repair Of A Tear In The Roof Of The Mouth

Washington, DC rates for HCPCS 42182

This procedure surgically closes a tear or wound in the roof of the mouth, called the palate. The surgeon cleans the area and stitches the tissue layers back together to restore a normal palate. It is typically needed after an injury, such as a fall or puncture wound, rather than a birth defect.

Rates data updated July 2026.

Facilitymedian $4,074 · 10th–90th $302$7,7620%10%20%10th90th$4,074Professionalmedian $309 · 10th–90th $251$3980%10%20%10th90th$309$200.0$500.0$1.0K$2.0K$5.0K$10.0K$20.0K

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
Setting
Facility
Modifier
Global
Typical Low
$302.00
Median
$4,073.80
Typical High
$7,762.47
Aetna
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$302.00
Typical High
$398.11
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$269.15
Typical High
$4,073.80
Cigna
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$363.08
Typical High
$891.25
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$371.54
Typical High
$660.69
United
Setting
Facility
Modifier
Global
Typical Low
$1,819.70
Median
$10,000.00
Typical High
$30,902.95
United
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$338.84
Typical High
$707.95