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Repair Of A Tear In The Roof Of The Mouth

New Jersey 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 $6,026 · 10th–90th $575$10,9650%10%10th90th$6,026Professionalmedian $331 · 10th–90th $234$6760%10%10th90th$331$100.0$500.0$2.0K$10.0K

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
$436.52
Median
$6,025.60
Typical High
$10,715.19
Aetna
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$309.03
Typical High
$549.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$380.19
Typical High
$724.44
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$467.74
Typical High
$724.44
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$12,022.64
Median
$19,054.61
Typical High
$27,542.29
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$363.08
Typical High
$724.44
United
Setting
Facility
Modifier
Global
Typical Low
$2,511.89
Median
$5,888.44
Typical High
$10,964.78
United
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$323.59
Typical High
$645.65