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New York rates for HCPCS 42215

Palatoplasty Cleft Palate Major Revj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$888.02 / $5,411.00 / $13,593.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$651.42 / $765.54 / $1,545.29
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,070.00 / $6,992.00 / $12,173.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$589.46 / $732.01 / $1,635.89
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,004.35 / $3,478.50 / $13,477.50
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,004.35 / $1,004.35 / $1,004.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$792.33 / $792.33 / $10,297.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$560.26 / $1,094.55 / $2,442.51
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$332.00 / $815.00 / $1,856.79
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$742.72 / $960.35 / $1,427.67
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$657.16 / $657.16 / $1,395.63
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$595.23 / $839.25 / $1,302.51
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$597.00 / $792.33 / $16,269.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$725.79 / $1,062.50 / $2,365.92
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,160.00 / $5,547.00 / $13,746.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$581.80 / $810.60 / $1,856.21
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$839.25 / $839.25 / $2,945.15
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$599.84 / $941.25 / $1,784.17