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Repair Of A Tear In The Roof Of The Mouth

Oregon 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 $537 · 10th–90th $302$8320%10%20%10th90th$537Professionalmedian $525 · 10th–90th $282$8510%10%20%10th90th$525$5.0$50.0$500.0$5.0K$50.0K$500.0K

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
$645.65
Median
$851.14
Typical High
$8,709.64
Aetna
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$354.81
Typical High
$1,023.29
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2,290.87
Median
$2,290.87
Typical High
$5,011.87
Cigna
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$537.03
Typical High
$812.83
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$575.44
Typical High
$794.33
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$263.03
Median
$407.38
Typical High
$676.08
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$537.03
Typical High
$794.33
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$389.05
Median
$616.60
Typical High
$660.69
Providence
Setting
Facility
Modifier
Global
Typical Low
$257.04
Median
$416.87
Typical High
$691.83
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$602.56
Typical High
$831.76
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$13,489.63
Median
$19,054.61
Typical High
$23,442.29
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$645.65
Typical High
$891.25
United
Setting
Facility
Modifier
Global
Typical Low
$1,621.81
Median
$9,549.93
Typical High
$17,782.79
United
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$549.54
Typical High
$851.14