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Alabama rates for HCPCS 42215

Palatoplasty Cleft Palate Major Revj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,233.00 / $1,746.00 / $2,729.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$637.20 / $828.76 / $1,388.76
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,494.74 / $4,241.04 / $5,705.55
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$966.19 / $1,354.88 / $1,598.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$642.48 / $892.77 / $2,365.36
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,485.00 / $4,121.00 / $7,227.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$559.10 / $745.61 / $1,203.38