go back

Massachusetts rates for HCPCS 42220

Palatoplasty Cleft Palate Sec Lngth Px

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$538.55 / $2,822.00 / $6,075.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$481.26 / $566.54 / $787.49
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,387.79 / $4,628.72 / $26,542.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.39 / $1,150.19 / $8,481.71
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$974.02 / $3,212.69 / $3,212.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$956.00 / $1,051.59 / $6,493.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$516.92 / $921.55 / $1,818.90
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$580.98 / $1,261.74 / $6,679.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$666.67 / $851.67 / $1,278.40
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$718.85 / $1,419.01 / $1,832.35
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,591.00 / $6,204.00 / $26,542.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$646.12 / $1,163.17 / $8,481.71
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,591.00 / $4,006.00 / $10,764.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$613.16 / $883.20 / $2,042.19