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Oklahoma 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
$1,346.00 / $4,728.00 / $14,100.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$882.63 / $1,030.69 / $1,253.43
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,334.45 / $14,723.14 / $23,348.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$886.61 / $1,216.00 / $1,492.62
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$934.31 / $1,278.52 / $7,567.45
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$871.82 / $1,177.36 / $9,072.81
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,481.00 / $5,524.00 / $9,232.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$845.50 / $1,068.00 / $1,632.05