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Rhode Island rates for HCPCS 42215

Palatoplasty Cleft Palate Major Revj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,706.14 / $3,955.04 / $5,496.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$652.42 / $727.73 / $1,084.74
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$746.71 / $947.30 / $1,311.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,325.00 / $1,325.00 / $5,421.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$555.90 / $1,094.55 / $1,663.14
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,219.00 / $5,979.00 / $12,680.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$655.33 / $924.78 / $1,509.41