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Idaho rates for HCPCS 42215

Palatoplasty Cleft Palate Major Revj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,500.00 / $4,805.00 / $6,899.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$688.24 / $1,000.09 / $2,031.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$665.56 / $1,111.98 / $1,340.91
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$759.02 / $1,280.11 / $2,203.19
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,136.82 / $1,205.72 / $1,377.96
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $974.38 / $1,225.83
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,660.78 / $13,168.12 / $17,807.80
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,198.20 / $1,403.65 / $1,427.12
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,120.00 / $22,317.00 / $27,159.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$734.40 / $960.99 / $1,528.84