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Rhode Island 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
$3,438.26 / $3,706.14 / $4,026.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$882.63 / $909.77 / $1,354.36
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,019.74 / $1,293.18 / $1,749.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$956.00 / $956.00 / $2,591.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$765.90 / $1,497.84 / $2,274.64
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,219.00 / $5,979.00 / $12,680.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$871.82 / $1,164.33 / $2,175.92