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Idaho rates for HCPCS 42220

Palatoplasty for cleft palate; secondary lengthening procedure

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,415.00 / $4,500.00 / $8,439.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$510.61 / $826.03 / $1,672.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$548.25 / $903.53 / $1,076.67
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.71 / $1,057.32 / $1,772.48
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$936.67 / $993.44 / $1,135.35
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $802.85 / $1,010.04
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,660.78 / $13,168.12 / $17,807.80
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$988.02 / $1,158.43 / $1,175.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,120.00 / $22,317.00 / $27,159.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$565.91 / $804.18 / $1,257.26