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North Carolina rates for HCPCS 42235

Repair of anterior palate, including vomer flap

Facilitymedian $1,230 · 10th–90th $724–$12,0230%10%10th90th$1,230Professionalmedian $1,148 · 10th–90th $724–$2,0420%20%10th90th$1,148$1.0$10.0$100.0$1.0K$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
$1,148.15 / $5,754.40 / $12,022.64
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$707.95 / $831.76 / $1,548.82
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$812.83 / $1,584.89 / $2,041.74
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$501.19 / $3,467.37 / $5,623.41
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$645.65 / $1,023.29 / $1,819.70
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,230.27 / $1,230.27 / $1,230.27
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$691.83 / $912.01 / $1,479.11
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$724.44 / $724.44 / $1,862.09
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$630.96 / $660.69 / $660.69
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,584.89 / $8,317.64 / $16,982.44
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$602.56 / $812.83 / $1,412.54
Wellcare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16,982.44 / $16,982.44 / $42,657.95
Wellcare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6,918.31 / $6,918.31 / $6,918.31