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Illinois rates for HCPCS 42215

Palatoplasty Cleft Palate Major Revj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,017.00 / $3,221.00 / $8,125.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$663.55 / $727.73 / $1,345.29
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,981.52 / $8,139.91 / $14,050.30
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$746.89 / $984.19 / $1,219.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$792.33 / $1,383.00 / $5,676.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$682.61 / $1,000.32 / $1,558.01
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$752.96 / $1,153.99 / $4,089.92
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$830.25 / $882.47 / $978.85
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $1,024.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,300.00 / $5,820.00 / $12,241.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$708.33 / $977.10 / $1,608.82