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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
$4,365.16 / $4,466.84 / $5,495.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $630.96 / $1,348.96
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,691.53 / $6,918.31 / $15,135.61
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.99 / $1,122.02 / $1,148.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $851.14 / $1,202.26
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$562.34 / $891.25 / $1,698.24
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $977.24 / $1,174.90
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $33.11
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,772.37 / $13,182.57 / $18,620.87
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $1,122.02 / $1,230.27
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $549.54 / $10,964.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,232.93 / $22,387.21 / $27,542.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $776.25 / $1,148.15