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Hawaii rates for HCPCS 42220

Palatoplasty for cleft palate; secondary lengthening procedure

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,861.43 / $2,747.00 / $6,084.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$481.25 / $510.61 / $614.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,749.74 / $1,749.74 / $1,749.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$544.54 / $741.29 / $1,370.05
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$777.60 / $873.65 / $1,052.04
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$652.33 / $711.64 / $830.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,912.00 / $2,912.00 / $2,912.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$526.69 / $741.29 / $964.86
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$539.04 / $3,692.19 / $9,324.00