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Minnesota rates for HCPCS 42220

Palatoplasty for cleft palate; secondary lengthening procedure

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$549.54 / $549.54 / $7,079.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $602.56 / $1,148.15
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,548.13 / $11,748.98 / $26,915.35
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $1,445.44 / $2,089.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,318.26 / $2,089.30 / $5,011.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $1,621.81 / $2,511.89
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,621.81 / $2,041.74 / $3,981.07
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,000.00 / $1,445.44 / $2,290.87
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$549.54 / $891.25 / $2,818.38
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $1,047.13 / $8,511.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,951.21 / $7,943.28 / $12,589.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $1,000.00 / $1,949.84