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North Carolina rates for HCPCS 42220

Palatoplasty Cleft Palate Sec Lngth Px

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$753.34 / $10,087.00 / $11,986.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$510.61 / $566.54 / $1,060.96
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,725.95 / $2,998.55 / $5,088.43
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$663.68 / $956.33 / $1,500.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$652.83 / $3,390.19 / $5,654.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$606.07 / $840.87 / $1,442.69
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$564.34 / $670.12 / $1,033.52
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$740.00 / $859.00 / $2,016.98
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$583.70 / $699.30 / $1,191.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,461.00 / $2,050.00 / $15,712.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$493.44 / $651.21 / $1,428.83
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,764.95 / $16,547.20 / $26,542.00
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,481.71 / $8,481.71 / $8,481.71