go back

North Dakota rates for HCPCS 42205

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

Facilitymedian $977 · 10th–90th $912–$8,5110%20%40%10th90th$977Professionalmedian $1,413 · 10th–90th $871–$2,4550%10%10th90th$1,413$500.0$1.0K$2.0K$5.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$912.01 / $977.24 / $8,511.38
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$870.96 / $1,071.52 / $2,398.83
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,698.24 / $2,089.30 / $2,511.89
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,023.29 / $1,778.28 / $2,754.23
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$977.24 / $1,380.38 / $2,818.38
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$851.14 / $1,548.82 / $9,120.11
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,818.38 / $6,606.93 / $8,912.51
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$776.25 / $1,288.25 / $2,187.76