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Maryland rates for HCPCS 42205

Palatoplasty W/Clsr Alveolar Ridge Soft Tissue

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$874.24 / $1,095.83 / $1,480.04
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$934.78 / $1,051.70 / $1,440.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$818.00 / $1,441.78 / $2,470.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$811.88 / $1,155.67 / $2,084.77
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$952.44 / $1,168.18 / $1,652.35
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,236.00 / $1,679.00 / $3,590.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$803.41 / $1,081.42 / $2,001.25
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$732.90 / $1,160.34 / $1,428.66