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Kentucky rates for HCPCS 42220

Palatoplasty for cleft palate; secondary lengthening procedure

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$707.95 / $2,818.38 / $10,471.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $602.56 / $1,096.48
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,884.03 / $4,466.84 / $12,022.64
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $549.54 / $741.31
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489.78 / $645.65 / $851.14
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $660.69 / $851.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$977.24 / $977.24 / $2,511.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $758.58 / $3,235.94
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $562.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$724.44 / $2,511.89 / $10,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $676.08 / $1,047.13