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Ohio rates for HCPCS 42215

Palatoplasty Cleft Palate Major Revj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,023.41 / $7,710.00 / $11,735.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$652.42 / $710.46 / $1,271.72
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,755.00 / $3,967.00 / $19,117.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$597.15 / $792.45 / $1,296.09
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$660.01 / $792.01 / $980.28
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$667.77 / $726.01 / $858.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$792.33 / $4,048.28 / $5,935.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$609.88 / $917.97 / $1,412.43
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$792.33 / $4,048.28 / $4,422.06
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$656.23 / $926.81 / $1,373.41
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.25 / $650.60 / $974.14
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,050.00 / $6,227.00 / $9,483.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$596.49 / $844.91 / $1,473.75