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Delaware rates for HCPCS 42220

Palatoplasty for cleft palate; secondary lengthening procedure

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,316.00 / $6,316.00 / $6,907.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$481.25 / $580.80 / $690.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,025.00 / $3,200.76 / $3,200.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$508.74 / $654.61 / $1,037.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,663.00 / $2,530.00 / $2,530.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$497.80 / $613.16 / $1,345.93