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Montana rates for HCPCS 42220

Palatoplasty for cleft palate; secondary lengthening procedure

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$421.94 / $565.90 / $3,121.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$917.00 / $917.00 / $917.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$544.54 / $819.89 / $1,421.52
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$566.76 / $775.23 / $1,003.01
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$565.95 / $925.81 / $1,542.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$796.41 / $934.44 / $1,273.96