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Nebraska rates for HCPCS 42215

Palatoplasty Cleft Palate Major Revj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,463.36 / $11,611.47 / $24,068.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$643.55 / $652.42 / $1,357.91
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,813.88 / $17,126.81 / $30,056.44
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$618.99 / $1,055.08 / $1,406.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$749.28 / $1,590.92 / $2,174.31
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$643.55 / $1,094.05 / $1,938.90
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,006.53 / $1,507.78 / $11,064.05
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,289.91 / $1,719.68 / $6,181.44
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,122.00 / $1,550.21 / $2,136.75
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.00 / $1,004.00 / $1,851.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,178.00 / $7,441.00 / $8,816.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$994.14 / $1,547.12 / $1,798.50