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Indiana rates for HCPCS 42215

Palatoplasty Cleft Palate Major Revj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$686.80 / $4,580.00 / $17,225.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$651.99 / $710.46 / $968.06
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,719.00 / $11,294.00 / $22,813.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$653.60 / $817.00 / $1,118.46
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$647.42 / $825.16 / $952.11
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$634.74 / $761.69 / $952.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$792.33 / $1,201.00 / $3,909.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$642.48 / $886.29 / $1,477.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,529.00 / $9,550.00 / $15,750.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$618.86 / $774.43 / $1,356.89