go back

Washington, DC rates for HCPCS 42215

Palatoplasty Cleft Palate Major Revj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,614.00 / $7,278.00 / $9,719.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$725.74 / $836.40 / $1,869.59
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$757.61 / $771.41 / $7,018.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$657.11 / $882.95 / $1,846.36
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.69 / $780.73 / $1,621.04
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,261.00 / $4,165.00 / $26,408.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$569.74 / $808.42 / $1,970.57