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Idaho rates for HCPCS 42205

Palatoplasty W/Clsr Alveolar Ridge Soft Tissue

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,415.00 / $4,500.00 / $8,439.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$947.22 / $1,355.86 / $2,793.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.87 / $1,509.84 / $1,840.18
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,036.20 / $1,735.50 / $2,961.25
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,555.26 / $1,649.52 / $1,885.16
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $1,678.27
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,803.94 / $7,744.17 / $9,755.03
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,640.09 / $1,924.91 / $1,955.85
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,120.00 / $22,317.00 / $27,159.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$966.80 / $1,280.35 / $2,013.50