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Kansas rates for HCPCS 42215

Palatoplasty Cleft Palate Major Revj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,131.00 / $7,655.00 / $14,450.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$725.74 / $735.72 / $1,177.17
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,682.91 / $4,682.91 / $4,682.91
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$896.27 / $1,054.44 / $1,054.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,782.00 / $3,365.00 / $4,948.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$653.30 / $970.16 / $1,387.67
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$725.74 / $994.33 / $8,280.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$743.77 / $965.60 / $11,064.05
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,967.00 / $4,960.00 / $11,732.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$729.66 / $868.30 / $1,447.78