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Connecticut rates for HCPCS 42215

Palatoplasty Cleft Palate Major Revj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,280.34 / $8,031.00 / $15,171.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$663.79 / $1,084.74 / $1,898.05
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$687.91 / $10,470.00 / $15,915.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$690.52 / $1,485.11 / $1,843.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$998.00 / $6,497.49 / $7,480.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$715.89 / $1,204.39 / $1,883.39
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,416.08 / $1,576.22 / $2,940.41
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$877.12 / $1,117.36 / $2,030.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,194.00 / $8,196.00 / $13,943.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$659.99 / $1,156.96 / $2,681.41