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California rates for HCPCS 42220

Palatoplasty for cleft palate; secondary lengthening procedure

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,387.00 / $9,560.00 / $21,886.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$481.25 / $577.63 / $3,121.96
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,700.00 / $9,043.00 / $19,398.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$545.08 / $713.03 / $1,419.95
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.90 / $100.00 / $11,539.24
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$437.34 / $659.91 / $1,521.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$652.83 / $3,461.93 / $10,261.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$527.30 / $733.71 / $1,651.31
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$632.91 / $756.71 / $1,197.23
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$559.27 / $734.80 / $1,306.21
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,764.95 / $16,547.20 / $26,542.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,481.71 / $8,481.71 / $8,481.71
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $827.25
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$577.63 / $748.38 / $1,354.71
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$533.88 / $779.93 / $1,587.42
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,937.10 / $1,937.10 / $1,937.10
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$605.79 / $763.79 / $1,139.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,673.00 / $11,056.00 / $26,109.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$458.40 / $629.82 / $1,468.81