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Maine rates for HCPCS 42205

Palatoplasty W/Clsr Alveolar Ridge Soft Tissue

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,008.01 / $1,186.66 / $1,214.59
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,010.24 / $1,307.36 / $1,989.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$982.00 / $982.00 / $1,084.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$860.58 / $1,257.29 / $2,085.69
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,079.05 / $1,389.73 / $2,174.67
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,008.01 / $1,186.66 / $2,300.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$941.49 / $1,267.45 / $2,083.05