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West Virginia rates for HCPCS 42215

Palatoplasty Cleft Palate Major Revj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$689.38 / $1,054.43 / $3,550.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$651.42 / $689.38 / $854.17
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$736.59 / $816.58 / $889.68
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$405.85 / $790.82 / $790.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$792.33 / $792.33 / $792.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$585.11 / $940.36 / $1,785.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$547.67 / $813.92 / $1,199.08