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Alabama rates for HCPCS 42215

Palatoplasty for cleft palate; major revision

Facilitymedian $2,399 · 10th–90th $1,349–$5,7540%10%10th90th$2,399Professionalmedian $759 · 10th–90th $646–$1,3800%20%10th90th$759$500.0$1.0K$2.0K$5.0K$10.0K$20.0K

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
$1,258.93 / $1,737.80 / $2,238.72
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$645.65 / $758.58 / $1,380.38
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,630.78 / $4,265.80 / $5,754.40
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$912.01 / $1,148.15 / $1,584.89
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$616.60 / $891.25 / $1,548.82
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,479.11 / $4,365.16 / $6,918.31
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$549.54 / $758.58 / $1,230.27