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Nevada 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
$1,550.00 / $3,459.00 / $7,674.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$858.00 / $1,023.16 / $1,608.22
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,072.00 / $3,931.00 / $5,258.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$813.60 / $1,084.61 / $1,749.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,467.17 / $1,915.40 / $2,048.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$582.33 / $1,105.00 / $1,688.21
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.00 / $1,025.18 / $1,855.13
Hometown Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,545.94 / $3,584.18 / $3,584.18
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.00 / $930.06 / $2,318.91
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,248.00 / $3,569.00 / $10,407.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$824.19 / $1,096.26 / $1,847.30