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Texas rates for HCPCS 42205

Palatoplasty W/Clsr Alveolar Ridge Soft Tissue

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$945.00 / $3,682.00 / $12,729.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.41 / $1,001.79 / $1,508.35
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,374.98 / $4,217.06 / $8,067.41
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$818.22 / $1,077.02 / $1,568.15
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$846.60 / $846.60 / $860.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,508.82 / $2,001.65 / $3,559.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$894.80 / $1,257.29 / $1,939.92
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,909.30 / $11,500.00 / $26,542.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,072.81 / $9,072.81 / $9,072.81
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$925.68 / $1,171.58 / $2,174.42
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,083.97 / $1,413.87 / $1,753.20
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.00 / $1,132.80 / $2,465.69
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$932.03 / $1,184.18 / $2,225.69
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$928.19 / $1,329.00 / $2,410.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,093.00 / $5,870.00 / $13,237.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$770.94 / $1,040.30 / $1,692.88
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$804.46 / $938.73 / $1,269.69