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Maine rates for HCPCS 42215

Palatoplasty Cleft Palate Major Revj

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$739.26 / $864.99 / $920.23
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$809.56 / $952.43 / $1,454.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$792.33 / $792.33 / $1,363.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$700.96 / $947.84 / $1,523.94
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$788.74 / $1,015.83 / $1,589.60
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$739.26 / $864.99 / $920.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$669.61 / $1,026.56 / $1,406.01