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Delaware rates for HCPCS 42205

Palatoplasty for cleft palate, with closure of alveolar ridge; soft tissue only

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,316.00 / $6,316.00 / $6,907.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$947.22 / $972.25 / $1,355.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,529.91 / $1,529.91 / $3,025.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$800.05 / $1,089.64 / $1,725.01
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,663.00 / $2,530.00 / $2,530.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$820.54 / $1,043.29 / $2,249.48