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Massachusetts rates for HCPCS 42215

Palatoplasty Cleft Palate Major Revj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$727.73 / $3,107.00 / $5,851.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$651.42 / $727.73 / $1,084.74
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,591.00 / $4,628.72 / $26,542.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$761.50 / $1,403.28 / $11,064.05
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,351.68 / $3,212.69 / $3,212.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,325.00 / $1,457.50 / $6,493.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.16 / $1,142.29 / $2,205.09
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$704.16 / $1,527.12 / $7,315.92
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$808.02 / $1,030.81 / $1,547.28
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$872.45 / $1,722.22 / $2,223.88
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,591.00 / $6,204.00 / $26,542.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$820.17 / $1,413.14 / $11,064.05
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,591.00 / $4,006.00 / $10,764.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$746.29 / $1,110.07 / $2,949.07