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New Jersey 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
$1,147.69 / $6,180.00 / $11,298.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$858.00 / $972.25 / $1,637.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$685.05 / $1,251.89 / $2,498.35
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,015.63 / $1,476.54 / $1,800.84
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,572.89 / $7,884.56 / $16,013.10
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$795.94 / $1,135.98 / $1,949.17
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,045.00 / $9,969.00 / $19,690.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$655.34 / $1,025.67 / $2,278.17