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Maine rates for HCPCS 42220

Palatoplasty Cleft Palate Sec Lngth Px

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$481.25 / $670.32 / $712.20
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$624.20 / $784.33 / $1,198.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$652.83 / $652.83 / $982.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.57 / $757.27 / $1,256.23
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$649.88 / $836.99 / $1,309.74
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$481.25 / $682.18 / $712.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$532.72 / $730.91 / $1,160.76