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Georgia rates for HCPCS 42215

Palatoplasty Cleft Palate Major Revj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,098.70 / $5,063.00 / $9,488.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$668.77 / $809.66 / $1,888.35
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,012.00 / $3,392.46 / $7,513.42
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$698.47 / $1,090.06 / $1,857.92
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,094.16 / $1,094.16 / $1,094.16
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$640.49 / $640.49 / $640.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$512.00 / $1,371.00 / $3,685.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$674.37 / $1,069.85 / $1,822.79
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$694.74 / $903.16 / $2,440.58
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.00 / $1,348.80 / $1,810.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$741.00 / $5,664.00 / $11,889.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$671.05 / $951.21 / $1,679.67