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Minnesota rates for HCPCS 42205

Palatoplasty for cleft palate, with closure of alveolar ridge; soft tissue only

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$912.01 / $912.01 / $7,079.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $1,047.13 / $1,862.09
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,570.88 / $7,762.47 / $21,877.62
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,548.82 / $2,398.83 / $3,467.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,187.76 / $3,467.37 / $8,317.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,513.56 / $2,630.27 / $4,073.80
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,691.53 / $3,311.31 / $6,456.54
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,659.59 / $2,398.83 / $3,801.89
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$912.01 / $1,479.11 / $2,951.21
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.24 / $1,778.28 / $9,120.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,951.21 / $7,943.28 / $11,748.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.99 / $1,698.24 / $3,311.31