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Missouri rates for HCPCS 42220

Palatoplasty for cleft palate; secondary lengthening procedure

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,760.00 / $5,144.00 / $9,304.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$534.89 / $605.82 / $1,433.25
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,180.00 / $4,517.00 / $10,043.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.00 / $689.34 / $1,090.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,559.00 / $3,559.00 / $3,559.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$500.76 / $725.41 / $1,246.73
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$535.37 / $874.79 / $7,923.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$564.11 / $1,062.13 / $8,481.71
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,044.49 / $4,039.00 / $9,817.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$551.84 / $780.13 / $1,363.66