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Colorado rates for HCPCS 42220

Palatoplasty for cleft palate; secondary lengthening procedure

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,506.00 / $3,133.00 / $9,872.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$502.35 / $595.17 / $897.43
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,946.00 / $9,472.00 / $17,487.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$608.08 / $810.72 / $1,198.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$652.83 / $800.00 / $3,559.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$576.86 / $777.51 / $1,178.14
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$589.85 / $749.96 / $1,011.22
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$693.41 / $866.76 / $1,213.46
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,664.00 / $11,924.00 / $19,712.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.62 / $828.56 / $1,324.24