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Washington, DC rates for HCPCS 42220

Palatoplasty Cleft Palate Sec Lngth Px

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,017.00 / $4,673.00 / $6,996.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$538.55 / $690.53 / $690.53
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$625.83 / $636.58 / $4,186.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$513.01 / $695.35 / $1,523.63
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$612.17 / $644.40 / $1,339.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,261.00 / $4,165.00 / $26,408.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$479.29 / $695.66 / $1,696.20