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Washington, DC rates for HCPCS 42215

Palatoplasty for cleft palate; major revision

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,698.24 / $5,011.87 / $9,772.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $758.58 / $1,348.96
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $831.76 / $10,000.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $831.76 / $2,187.76
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $724.44 / $1,479.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,073.80 / $13,182.57 / $33,884.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $776.25 / $1,737.80