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New Mexico 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
$1,028.54 / $7,838.38 / $8,644.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$909.77 / $989.22 / $1,401.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,084.92 / $1,084.92 / $1,651.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$950.90 / $1,373.81 / $1,727.90
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $1,495.83
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$917.69 / $1,180.00 / $1,480.90
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,013.26 / $1,502.60 / $2,513.42
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,705.00 / $11,259.00 / $12,494.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$989.71 / $1,386.24 / $2,074.66