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Minnesota rates for HCPCS 42215

Palatoplasty Cleft Palate Major Revj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$663.79 / $663.79 / $7,397.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$642.84 / $688.24 / $1,173.39
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,319.81 / $9,984.76 / $20,811.61
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,208.82 / $2,045.68 / $2,481.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,549.73 / $2,418.73 / $5,818.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,222.14 / $2,188.65 / $3,031.41
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,342.98 / $2,207.25 / $4,581.56
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,222.14 / $2,011.57 / $2,771.61
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$688.44 / $1,221.89 / $2,260.80
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$820.17 / $1,642.93 / $11,064.05
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,960.00 / $7,872.00 / $11,531.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.24 / $1,453.94 / $2,866.01