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Washington, DC rates for HCPCS 42215

Palatoplasty for cleft palate; major revision

Facilitymedian $7,244 · 10th–90th $1,698–$10,2330%10%20%10th90th$7,244Professionalmedian $794 · 10th–90th $646–$1,6220%10%20%10th90th$794$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
$1,698.24 / $5,011.87 / $9,772.37
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$645.65 / $794.33 / $1,380.38
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$660.69 / $741.31 / $11,748.98
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$549.54 / $870.96 / $2,187.76
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$691.83 / $724.44 / $1,479.11
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,235.94 / $13,182.57 / $33,113.11
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$575.44 / $776.25 / $1,513.56