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Oklahoma rates for HCPCS 42215

Palatoplasty Cleft Palate Major Revj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,392.00 / $5,511.00 / $16,900.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$652.42 / $747.13 / $912.84
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,585.95 / $10,387.98 / $16,473.50
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$677.95 / $911.55 / $1,181.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$677.76 / $905.53 / $1,129.71
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$715.78 / $1,018.25 / $8,804.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$640.46 / $869.00 / $11,064.05
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,481.00 / $5,910.00 / $9,232.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$605.16 / $797.80 / $1,195.21