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Rhode Island rates for HCPCS 42215

Palatoplasty for cleft palate; major revision

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,981.07 / $3,981.07 / $4,786.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $758.58 / $1,380.38
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $954.99 / $1,380.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,318.26 / $5,370.32 / $5,370.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $1,071.52 / $1,698.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,230.27 / $6,025.60 / $12,589.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $870.96 / $1,584.89