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Iowa rates for HCPCS 42215

Palatoplasty for cleft palate; major revision

Facilitymedian $6,607 · 10th–90th $1,096$12,3030%20%10th90th$6,607Professionalmedian $871 · 10th–90th $661$1,9050%20%10th90th$871$10.0$50.0$200.0$1.0K$5.0K$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
$1,174.90 / $6,606.93 / $8,128.31
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$645.65 / $794.33 / $1,584.89
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,244.36 / $7,244.36 / $7,244.36
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$660.69 / $1,621.81 / $2,041.74
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$660.69 / $1,584.89 / $3,548.13
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$776.25 / $1,584.89 / $14,454.40
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$741.31 / $1,348.96 / $10,964.78
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,318.26 / $1,659.59 / $1,905.46
Midlands
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,244.36 / $7,244.36 / $7,244.36
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,258.93 / $1,445.44 / $1,905.46
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.03 / $1,479.11 / $1,819.70
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,168.69 / $9,772.37 / $15,488.17
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$707.95 / $1,023.29 / $1,949.84
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,071.52 / $1,380.38 / $1,621.81