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Illinois rates for HCPCS 42220

Palatoplasty Cleft Palate Sec Lngth Px

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$948.31 / $2,989.00 / $7,123.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$494.19 / $597.14 / $997.39
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,837.21 / $7,708.25 / $11,560.74
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$374.92 / $744.20 / $1,001.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$652.83 / $996.00 / $5,676.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$541.78 / $804.53 / $1,175.85
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.40 / $948.31 / $3,748.94
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$684.98 / $725.18 / $804.53
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $909.74
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,300.00 / $5,820.00 / $12,241.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$558.73 / $760.91 / $1,315.76