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Indiana rates for HCPCS 42220

Palatoplasty Cleft Palate Sec Lngth Px

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$565.71 / $1,386.00 / $16,042.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$481.25 / $566.54 / $797.38
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,641.00 / $10,700.00 / $17,513.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$499.36 / $624.20 / $861.39
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$523.09 / $680.02 / $784.64
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$523.09 / $627.71 / $784.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$652.83 / $865.00 / $3,909.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$529.48 / $709.60 / $1,173.15
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,529.00 / $9,550.00 / $15,750.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$497.75 / $618.77 / $1,034.56