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Wyoming rates for HCPCS 42205

Palatoplasty for cleft palate, with closure of alveolar ridge; soft tissue only

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$888.28 / $909.77 / $1,355.86
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,512.00 / $3,014.00 / $4,664.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$960.23 / $1,619.71 / $2,179.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,188.00 / $5,188.00 / $18,767.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,011.93 / $1,790.47 / $3,449.15