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Alaska rates for HCPCS 42215

Palatoplasty Cleft Palate Major Revj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,236.00 / $13,413.92 / $20,143.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$685.80 / $743.02 / $3,654.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$674.37 / $1,112.78 / $2,328.27
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$693.61 / $3,654.15 / $5,115.81
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,722.45 / $2,522.07 / $4,649.70
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,830.15 / $3,184.50 / $5,255.78
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$693.61 / $3,654.15 / $5,115.81
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.06 / $2,529.60 / $4,609.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$936.52 / $1,862.62 / $5,137.74