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Arizona rates for HCPCS 42215

Palatoplasty Cleft Palate Major Revj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,965.00 / $4,521.00 / $9,112.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$651.42 / $733.04 / $1,087.67
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,233.59 / $4,605.95 / $8,070.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$723.79 / $827.18 / $961.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$995.00 / $3,280.17 / $5,374.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.00 / $815.68 / $1,535.42
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$672.61 / $840.76 / $6,014.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$620.08 / $805.74 / $11,064.05
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,350.00 / $6,230.00 / $9,010.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$608.29 / $747.34 / $1,367.28