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Oregon rates for HCPCS 42215

Palatoplasty Cleft Palate Major Revj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,420.08 / $12,274.80 / $59,023.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$685.80 / $1,000.09 / $2,939.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,250.41 / $3,250.41 / $5,022.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$681.46 / $1,380.69 / $1,999.99
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,131.08 / $1,485.21 / $1,847.92
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$763.56 / $1,305.20 / $1,885.45
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,108.96 / $1,257.59 / $2,077.62
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,015.51 / $1,371.95 / $1,417.05
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$840.69 / $1,513.99 / $2,436.83
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,194.05 / $1,528.84 / $2,005.96
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,671.70 / $19,116.02 / $21,922.68
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,296.48 / $1,650.76 / $2,158.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,151.00 / $15,055.00 / $24,231.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,043.00 / $1,446.20 / $2,200.17