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Michigan rates for HCPCS 42235

Repair of anterior palate, including vomer flap

Facilitymedian $4,898 · 10th–90th $977–$7,5860%20%10th90th$4,898Professionalmedian $813 · 10th–90th $676–$1,2590%20%10th90th$813$200.0$500.0$1.0K$2.0K$5.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$977.24 / $4,897.79 / $5,754.40
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$676.08 / $794.33 / $1,258.93
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$223.87 / $223.87 / $223.87
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$234.42 / $1,122.02 / $1,174.90
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$616.60 / $891.25 / $1,949.84
Health Alliance Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$758.58 / $2,238.72 / $5,754.40
Health Alliance Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$691.83 / $851.14 / $1,412.54
Priority Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$602.56 / $812.83 / $1,548.82
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,467.37 / $7,585.78 / $14,791.08
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$630.96 / $912.01 / $1,258.93