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Alaska rates for HCPCS 42215

Palatoplasty for cleft palate; major revision

Facilitymedian $1,096 · 10th–90th $692–$3,6310%10%10th90th$1,096Professionalmedian $832 · 10th–90th $661–$2,8840%10%20%10th90th$832$100.0$500.0$2.0K$10.0K

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
$2,041.74 / $14,125.38 / $22,387.21
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$645.65 / $741.31 / $1,778.28
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$575.44 / $870.96 / $2,137.96
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$691.83 / $1,071.52 / $2,041.74
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,000.00 / $1,949.84 / $4,365.16
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,089.30 / $2,884.03 / $4,168.69
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$691.83 / $1,047.13 / $2,137.96
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$537.03 / $1,071.52 / $2,137.96
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12,022.64 / $12,022.64 / $12,022.64
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$602.56 / $1,000.00 / $3,801.89