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Minnesota 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
$870.96 / $1,479.11 / $7,413.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $1,023.29 / $3,311.31
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,623.41 / $13,489.63 / $26,915.35
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,479.11 / $2,290.87 / $3,388.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,089.30 / $3,311.31 / $7,943.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,445.44 / $2,570.40 / $3,981.07
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,570.40 / $3,235.94 / $6,309.57
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,584.89 / $2,290.87 / $3,630.78
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$870.96 / $1,412.54 / $3,981.07
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.25 / $1,698.24 / $9,772.37
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,951.21 / $7,943.28 / $12,589.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.25 / $1,621.81 / $3,162.28