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Utah rates for HCPCS 42205

Palatoplasty W/Clsr Alveolar Ridge Soft Tissue

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,273.80 / $4,312.00 / $9,078.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$748.81 / $1,095.83 / $2,793.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$894.80 / $1,280.13 / $2,003.91
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.28 / $702.46 / $928.86
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,525.68 / $6,104.56 / $8,896.10
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,259.76 / $1,490.10 / $1,924.22
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,912.00 / $7,693.00 / $13,847.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$852.60 / $1,107.11 / $1,958.00