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Idaho 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
$4,365.16 / $8,709.64 / $8,912.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $1,148.15 / $3,467.37
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,691.53 / $5,888.44 / $15,135.61
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,513.56 / $1,778.28 / $1,819.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $1,348.96 / $1,949.84
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$912.01 / $1,412.54 / $2,754.23
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.25 / $1,513.56 / $1,905.46
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $33.11
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,772.37 / $13,182.57 / $18,620.87
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,348.96 / $1,778.28 / $1,949.84
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $851.14 / $10,964.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,232.93 / $22,387.21 / $27,542.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $1,258.93 / $1,905.46