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Maryland rates for HCPCS 42215

Palatoplasty Cleft Palate Major Revj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,194.12 / $4,194.12 / $4,194.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$668.77 / $809.80 / $2,144.80
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.87 / $771.41 / $1,195.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$993.00 / $3,076.35 / $4,939.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$612.50 / $869.27 / $1,569.66
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$696.56 / $885.73 / $1,249.17
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,236.00 / $1,679.00 / $3,590.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$598.71 / $825.78 / $1,364.80
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$585.98 / $848.83 / $1,044.83