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North Dakota rates for HCPCS 42205

Palatoplasty W/Clsr Alveolar Ridge Soft Tissue

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$981.06 / $981.06 / $8,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$903.11 / $981.06 / $1,230.86
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,916.03 / $2,107.73 / $2,471.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,019.50 / $1,925.57 / $2,925.17
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$972.03 / $1,354.36 / $2,790.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$885.33 / $1,714.12 / $9,072.81
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,790.00 / $2,790.00 / $2,790.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$903.83 / $1,782.79 / $2,542.39