go back

North Carolina rates for HCPCS 42220

Palatoplasty for cleft palate; secondary lengthening procedure

Facilitymedian $912 · 10th–90th $562–$12,0230%10%10th90th$912Professionalmedian $794 · 10th–90th $562–$1,6600%20%10th90th$794$1.0$10.0$100.0$1.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$831.76 / $6,918.31 / $12,022.64
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$537.03 / $630.96 / $1,548.82
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$602.56 / $812.83 / $1,698.24
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$501.19 / $3,388.44 / $5,623.41
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$549.54 / $776.25 / $1,412.54
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$891.25 / $891.25 / $891.25
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$537.03 / $707.95 / $1,148.15
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$676.08 / $676.08 / $1,548.82
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$588.84 / $616.60 / $616.60
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,584.89 / $8,317.64 / $16,982.44
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$467.74 / $630.96 / $1,122.02
Wellcare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16,982.44 / $16,982.44 / $42,657.95
Wellcare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8,912.51 / $8,912.51 / $8,912.51