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Missouri rates for HCPCS 42215

Palatoplasty Cleft Palate Major Revj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,440.00 / $5,560.00 / $12,154.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$649.45 / $735.72 / $1,177.17
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,180.00 / $4,517.00 / $10,043.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$703.12 / $865.85 / $1,326.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,939.00 / $4,939.00 / $4,939.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$632.51 / $934.42 / $1,561.16
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$652.42 / $1,073.27 / $7,923.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$708.33 / $1,290.52 / $11,064.05
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,285.00 / $4,490.00 / $10,618.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$671.05 / $988.62 / $1,911.08