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Arkansas rates for HCPCS 42220

Palatoplasty for cleft palate; secondary lengthening procedure

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$709.76 / $1,593.00 / $3,000.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$510.61 / $635.91 / $789.10
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,430.62 / $5,430.62 / $6,190.91
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$610.35 / $807.82 / $897.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$515.00 / $789.00 / $4,337.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$468.91 / $821.84 / $1,106.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,565.00 / $2,626.00 / $6,957.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$490.53 / $674.48 / $1,097.29