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North Dakota rates for HCPCS 42215

Palatoplasty Cleft Palate Major Revj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$716.06 / $716.06 / $10,000.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$663.79 / $716.06 / $892.95
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,390.93 / $1,540.65 / $1,806.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$813.22 / $1,417.96 / $2,154.05
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$706.37 / $995.04 / $2,122.75
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.55 / $1,313.61 / $11,064.05
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,790.00 / $2,790.00 / $2,790.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$633.63 / $1,263.57 / $1,858.79