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Indiana rates for HCPCS 42220

Palatoplasty for cleft palate; secondary lengthening procedure

Facilitymedian $14,791 · 10th–90th $692–$25,7040%5%10%10th90th$14,791Professionalmedian $617 · 10th–90th $525–$1,1750%20%10th90th$617$500.0$1.0K$2.0K$5.0K$10.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$630.96 / $1,174.90 / $16,218.10
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$537.03 / $602.56 / $1,412.54
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,570.88 / $17,378.01 / $26,302.68
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$489.78 / $630.96 / $1,000.00
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$549.54 / $575.44 / $660.69
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$489.78 / $489.78 / $489.78
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$870.96 / $977.24 / $3,890.45
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$467.74 / $741.31 / $1,148.15
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,265.80 / $9,549.93 / $18,197.01
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$478.63 / $616.60 / $1,000.00