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Cleft Palate Repair Surgery

Nevada rates for HCPCS 42200

This surgery repairs a cleft palate, a birth condition in which the roof of the mouth did not fully join together during development, leaving a gap between the mouth and nasal cavity. The surgeon closes the opening in the soft palate, hard palate, or both, restoring a continuous roof of the mouth to support normal speech, feeding, and swallowing. It's typically performed on infants or young children born with this condition.

Facilitymedian $3,981 · 10th–90th $2,138$8,1280%20%10th90th$3,981Professionalmedian $977 · 10th–90th $813$2,2910%20%40%10th90th$977$1.0$5.0$20.0$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
$1,548.82
Median
$3,981.07
Typical High
$7,762.47
Aetna
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$977.24
Typical High
$2,454.71
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$4,677.35
Median
$8,128.31
Typical High
$8,128.31
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$1,148.15
Typical High
$1,737.80
Cigna
Setting
Facility
Modifier
Global
Typical Low
$3,090.30
Median
$3,090.30
Typical High
$3,090.30
Cigna
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$1,071.52
Typical High
$1,621.81
Hometown Health
Setting
Professional
Modifier
Global
Typical Low
$11.22
Median
$870.96
Typical High
$1,584.89
Hometown Health
Setting
Facility
Modifier
Global
Typical Low
$3,162.28
Median
$3,162.28
Typical High
$3,162.28
Hometown Health
Setting
Professional
Modifier
Global
Typical Low
$9.77
Median
$9.77
Typical High
$1,258.93
Select Health
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$831.76
Typical High
$1,778.28
United
Setting
Facility
Modifier
Global
Typical Low
$1,862.09
Median
$2,951.21
Typical High
$10,715.19
United
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$1,000.00
Typical High
$1,698.24