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North Carolina rates for HCPCS 42205

Palatoplasty W/Clsr Alveolar Ridge Soft Tissue

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$943.72 / $1,615.00 / $10,924.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$897.17 / $972.25 / $1,666.92
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,079.61 / $1,752.99 / $4,000.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$825.38 / $1,620.46 / $2,702.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$983.13 / $1,411.42 / $2,422.84
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$943.72 / $1,157.06 / $1,758.98
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$817.00 / $860.00 / $2,016.98
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$842.20 / $1,009.70 / $1,970.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,461.00 / $2,050.00 / $15,712.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$820.54 / $1,114.51 / $2,395.80
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,261.43 / $7,909.30 / $26,542.00
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,072.81 / $9,072.81 / $9,072.81