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Mississippi rates for HCPCS 42215

Palatoplasty Cleft Palate Major Revj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$750.00 / $1,831.00 / $2,825.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$640.52 / $862.48 / $1,960.37
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,920.52 / $2,920.52 / $2,920.52
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,257.00 / $1,257.00 / $2,808.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,147.00 / $2,640.49 / $6,486.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$646.95 / $932.04 / $1,389.22
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $32.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$985.00 / $3,428.00 / $9,515.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$615.09 / $846.65 / $1,821.22