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Massachusetts rates for HCPCS 42205

Palatoplasty W/Clsr Alveolar Ridge Soft Tissue

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$882.63 / $2,822.00 / $6,075.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$858.00 / $989.22 / $1,354.36
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$941.10 / $5,047.31 / $26,542.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,025.67 / $1,872.23 / $9,072.81
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$974.02 / $1,620.25 / $1,620.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$956.00 / $1,051.59 / $3,103.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$739.60 / $1,549.06 / $3,010.48
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$814.00 / $1,909.00 / $6,679.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,100.88 / $1,397.88 / $2,043.46
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,193.57 / $2,356.11 / $3,042.41
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,591.00 / $6,261.43 / $26,542.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,061.40 / $1,938.86 / $9,072.81
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,591.00 / $4,006.00 / $10,764.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,025.67 / $1,473.50 / $3,380.76