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Nebraska 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
$5,463.36 / $10,506.16 / $21,899.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$880.41 / $882.63 / $1,614.59
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,813.88 / $17,126.81 / $30,056.44
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$845.78 / $1,441.69 / $1,922.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,028.23 / $2,160.44 / $2,984.59
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$880.41 / $1,496.70 / $2,548.56
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,383.68 / $2,072.75 / $9,072.81
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,397.88 / $2,176.17 / $2,927.79
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,397.88 / $2,120.81 / $2,927.79
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.00 / $1,254.90 / $2,465.69
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,178.00 / $7,441.00 / $8,816.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,356.16 / $2,116.51 / $2,449.51