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Michigan rates for HCPCS 42215

Palatoplasty Cleft Palate Major Revj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$892.95 / $4,933.00 / $6,853.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$651.42 / $828.76 / $937.59
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,986.16 / $4,733.08 / $6,500.78
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$180.31 / $629.79 / $1,179.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$642.48 / $861.17 / $1,682.18
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$712.48 / $4,933.00 / $6,853.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$693.17 / $792.20 / $1,173.39
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.50 / $600.05 / $909.82
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,500.00 / $8,702.00 / $10,351.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$721.49 / $929.02 / $1,204.19