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Maryland rates for HCPCS 42220

Palatoplasty Cleft Palate Sec Lngth Px

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,515.10 / $3,515.10 / $3,515.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$494.19 / $659.71 / $1,611.24
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$579.17 / $636.58 / $1,177.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$715.00 / $3,018.07 / $3,914.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$503.96 / $681.04 / $1,295.29
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$559.44 / $729.89 / $1,031.04
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,236.00 / $1,679.00 / $3,590.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$479.29 / $650.21 / $1,122.60
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$425.67 / $699.48 / $861.05