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Kansas rates for HCPCS 42220

Palatoplasty for cleft palate; secondary lengthening procedure

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,017.77 / $6,560.00 / $12,154.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$481.25 / $605.82 / $969.49
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,451.02 / $3,451.02 / $3,451.02
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$695.29 / $817.99 / $817.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,284.00 / $3,365.00 / $3,365.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$520.95 / $757.14 / $1,107.77
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$585.26 / $780.78 / $8,280.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$583.73 / $759.16 / $8,481.71
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,967.00 / $4,960.00 / $11,732.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.00 / $707.59 / $1,079.07