go back

Washington, DC rates for HCPCS 42200

Palatoplasty for cleft palate, soft and/or hard palate only

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,698.24 / $4,073.80 / $7,079.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $1,000.00 / $1,995.26
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $1,000.00 / $5,128.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $1,047.13 / $2,884.03
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $933.25 / $1,949.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,073.80 / $13,182.57 / $33,884.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $1,000.00 / $2,290.87