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Minnesota rates for HCPCS 42205

Palatoplasty W/Clsr Alveolar Ridge Soft Tissue

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$903.11 / $903.11 / $6,781.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$882.63 / $947.22 / $1,608.22
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,166.47 / $6,563.86 / $13,020.23
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,653.75 / $2,800.10 / $3,396.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,104.58 / $3,284.70 / $7,901.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,649.07 / $2,972.15 / $4,116.60
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,823.80 / $2,997.50 / $6,221.88
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,659.64 / $2,731.68 / $3,763.79
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$938.73 / $1,659.34 / $2,945.12
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,097.47 / $2,256.05 / $9,072.81
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,960.00 / $7,872.00 / $11,531.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,025.67 / $2,011.34 / $3,920.05