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Arkansas rates for HCPCS 42205

Palatoplasty W/Clsr Alveolar Ridge Soft Tissue

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,161.52 / $1,688.00 / $3,000.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.41 / $1,139.36 / $1,828.35
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,893.49 / $2,893.49 / $3,298.58
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,015.83 / $1,344.48 / $1,493.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$515.00 / $789.00 / $4,337.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$799.67 / $1,335.86 / $1,731.53
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,565.00 / $2,626.00 / $6,957.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$863.71 / $1,178.33 / $1,845.09