go back

Kentucky rates for HCPCS 42215

Palatoplasty Cleft Palate Major Revj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$668.77 / $1,243.00 / $13,304.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$649.45 / $688.24 / $864.99
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,104.00 / $5,280.00 / $12,101.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$581.13 / $704.19 / $981.83
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$654.74 / $898.67 / $1,036.68
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$641.91 / $898.67 / $1,283.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$792.33 / $792.33 / $792.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$674.37 / $886.29 / $1,367.40
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $706.10
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$719.00 / $1,298.00 / $10,113.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$644.52 / $894.73 / $1,357.86