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Repair Of A Tear In The Roof Of The Mouth

Hawaii 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 $3,890 · 10th–90th $1,096$3,8900%50%10th$3,890Professionalmedian $339 · 10th–90th $245$4,3650%10%10th90th$339$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
Setting
Facility
Modifier
Global
Typical Low
$1,148.15
Median
$3,890.45
Typical High
$3,890.45
Aetna
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$302.00
Typical High
$389.05
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,096.48
Median
$1,096.48
Typical High
$1,096.48
Cigna
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$416.87
Typical High
$1,023.29
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$380.19
Typical High
$489.78
United
Setting
Facility
Modifier
Global
Typical Low
$2,041.74
Median
$2,041.74
Typical High
$2,041.74
United
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$354.81
Typical High
$512.86
University Health Alliance
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$2,041.74
Typical High
$5,370.32