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Massachusetts rates for HCPCS 42200

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

Facilitymedian $3,631 · 10th–90th $1,047$7,2440%10%10th90th$3,631Professionalmedian $1,230 · 10th–90th $851$3,1620%10%10th90th$1,230$100.0$500.0$2.0K$10.0K$50.0K

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
$1,513.56 / $3,630.78 / $6,918.31
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$851.14 / $1,071.52 / $3,311.31
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,905.46 / $4,897.79 / $16,982.44
AllWays Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$891.25 / $1,445.44 / $9,772.37
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,737.80 / $1,862.09 / $2,570.40
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$954.99 / $1,023.29 / $6,456.54
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$512.86 / $1,230.27 / $2,570.40
Fallon Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$776.25 / $1,202.26 / $3,311.31
Fallon Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$776.25 / $1,122.02 / $1,659.59
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$776.25 / $5,011.87 / $13,182.57
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$870.96 / $1,548.82 / $2,398.83
Health New England
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,623.41 / $5,623.41 / $5,623.41
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,905.46 / $4,897.79 / $16,982.44
Mass General Brigham
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$891.25 / $1,445.44 / $9,772.37
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,122.02 / $4,897.79 / $13,182.57
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$912.01 / $1,445.44 / $2,691.53