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Alaska rates for HCPCS 42205

Palatoplasty W/Clsr Alveolar Ridge Soft Tissue

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,770.83 / $9,813.00 / $14,552.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$943.72 / $1,023.16 / $5,065.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$926.35 / $1,519.76 / $3,238.58
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.44 / $5,065.60 / $7,091.85
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,356.44 / $3,494.52 / $6,443.97
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,500.96 / $4,293.00 / $7,190.30
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.44 / $5,065.60 / $7,091.85
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,154.18 / $3,466.80 / $6,346.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,292.33 / $2,590.86 / $7,146.47