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North Carolina rates for HCPCS 42215

Palatoplasty Cleft Palate Major Revj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$685.80 / $1,933.00 / $12,247.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$675.19 / $721.35 / $1,257.04
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$836.19 / $1,217.16 / $1,818.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$792.33 / $3,390.19 / $5,654.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$743.28 / $1,066.16 / $1,799.83
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$685.80 / $859.05 / $1,361.76
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$924.00 / $1,216.00 / $2,016.98
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$767.40 / $919.10 / $1,625.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,461.00 / $2,050.00 / $15,712.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$611.40 / $812.88 / $1,738.17
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,571.42 / $16,547.20 / $26,542.00
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11,064.05 / $11,064.05 / $11,064.05