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Unlisted Procedure of the Palate or Uvula

West Virginia rates for HCPCS 42299

Covers an operation on the roof of the mouth or on the uvula, the soft flap that hangs at the back of the throat, when the work done has no standard named entry of its own. The surgeon submits a written report describing exactly what was performed.

Rates data updated July 2026.

How much does Unlisted Procedure of the Palate or Uvula cost?

$8,511

Typical facility fee. In West Virginia, July 2026.

Insurers have agreed to pay about $8,511 for this service. Most negotiated rates run $8,511 to $8,511.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $8,511 · 10th to 90th $1,413 to $8,511Professionalmedian $72,444 · 10th to 90th $72,444 to $72,444
$500$1K$2K$5K$10K$20K$50Kfacility $8,511professional $72,444

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$8,511.38
Median
$8,511.38
Typical High
$8,511.38
CareSource
Setting
Facility
Modifier
Global
Typical Low
$81,283.05
Median
$81,283.05
Typical High
$81,283.05
CareSource
Setting
Professional
Modifier
Global
Typical Low
$72,443.60
Median
$72,443.60
Typical High
$72,443.60
Cigna
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$34.67
Typical High
$34.67
United
Setting
Facility
Modifier
Global
Typical Low
$407.38
Median
$457.09
Typical High
$977.24

Where West Virginia sits

The same service costs 426.6 times more in Wisconsin than in Hawaii. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

West Virginia· 2nd of 50

$8,511

WI $12,589HI $29.51

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.