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Georgia rates for HCPCS 42205

Palatoplasty W/Clsr Alveolar Ridge Soft Tissue

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,480.44 / $5,063.00 / $7,391.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.41 / $1,061.40 / $1,952.97
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$717.00 / $2,322.50 / $4,819.75
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$957.30 / $1,488.15 / $2,546.40
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,431.45 / $1,431.45 / $1,431.45
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$883.08 / $883.08 / $883.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$512.00 / $1,005.00 / $1,761.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$866.61 / $1,402.78 / $2,317.78
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$951.58 / $1,237.05 / $2,386.48
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.00 / $1,619.20 / $2,465.69
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$741.00 / $5,664.00 / $11,889.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$921.99 / $1,316.52 / $2,485.06