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Arkansas rates for HCPCS 42215

Palatoplasty Cleft Palate Major Revj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$862.91 / $1,846.00 / $9,477.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$687.28 / $828.76 / $1,026.34
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,430.62 / $5,430.62 / $6,190.91
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$740.89 / $980.60 / $1,089.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$515.00 / $1,095.00 / $4,337.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.16 / $1,000.25 / $1,289.36
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,565.00 / $2,626.00 / $6,957.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$641.71 / $900.22 / $1,411.13