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Wyoming rates for HCPCS 42215

Palatoplasty Cleft Palate Major Revj

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$647.91 / $687.28 / $1,000.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,835.00 / $2,202.00 / $3,407.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$698.44 / $1,186.13 / $1,698.69
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,188.00 / $5,188.00 / $18,767.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$790.44 / $1,280.92 / $2,692.81