go back

Arizona rates for HCPCS 42220

Palatoplasty Cleft Palate Sec Lngth Px

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,965.00 / $4,521.00 / $7,960.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$494.19 / $585.13 / $897.43
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$888.80 / $3,318.56 / $5,814.97
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$596.53 / $681.74 / $792.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$717.00 / $3,280.17 / $5,374.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$510.62 / $660.81 / $1,287.43
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$539.70 / $665.03 / $6,014.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$488.60 / $645.61 / $8,481.71
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,350.00 / $6,230.00 / $9,010.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$487.32 / $611.64 / $1,140.33