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Florida rates for HCPCS 42215

Palatoplasty Cleft Palate Major Revj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$769.00 / $6,024.00 / $14,351.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$604.59 / $689.38 / $1,063.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$792.33 / $2,907.91 / $4,939.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$580.48 / $897.18 / $1,429.99
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,743.00 / $12,190.00 / $22,833.00
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$312.10 / $651.95 / $831.65
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.02 / $646.61 / $981.92
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,731.00 / $10,254.00 / $15,888.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$557.82 / $760.73 / $1,410.08
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$543.84 / $543.84 / $543.84