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Repair Of A Tear In The Roof Of The Mouth

Wisconsin 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 $7,586 · 10th–90th $324$16,2180%5%10th90th$7,586Professionalmedian $417 · 10th–90th $257$1,2300%10%10th90th$417$50.0$200.0$1.0K$5.0K$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
$288.40
Median
$537.03
Typical High
$3,090.30
Aetna
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$331.13
Typical High
$891.25
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$6,606.93
Median
$10,964.78
Typical High
$18,197.01
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$588.84
Typical High
$1,513.56
Cigna
Setting
Facility
Modifier
Global
Typical Low
$870.96
Median
$1,023.29
Typical High
$1,621.81
Cigna
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$575.44
Typical High
$1,380.38
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$257.04
Median
$398.11
Typical High
$3,311.31
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$645.65
Typical High
$977.24
Medica
Setting
Facility
Modifier
Global
Typical Low
$263.03
Median
$407.38
Typical High
$6,918.31
Medica
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$724.44
Typical High
$2,454.71
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$346.74
Network Health
Setting
Facility
Modifier
Global
Typical Low
$524.81
Median
$5,754.40
Typical High
$7,762.47
Network Health
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$724.44
Typical High
$1,122.02
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$257.04
Median
$363.08
Typical High
$562.34
Quartz
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$645.65
Typical High
$1,148.15
Quartz
Setting
Facility
Modifier
Global
Typical Low
$436.52
Median
$16,982.44
Typical High
$16,982.44
Quartz
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$691.83
Typical High
$2,398.83
Security Health
Setting
Professional
Modifier
Global
Typical Low
$933.25
Median
$933.25
Typical High
$1,230.27
Security Health
Setting
Professional
Modifier
Global
Typical Low
$776.25
Median
$1,230.27
Typical High
$1,659.59
United
Setting
Facility
Modifier
Global
Typical Low
$4,786.30
Median
$7,413.10
Typical High
$9,120.11
United
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$426.58
Typical High
$1,148.15