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North Dakota rates for HCPCS 42220

Palatoplasty for cleft palate; secondary lengthening procedure

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$589.92 / $589.92 / $8,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$481.25 / $589.92 / $734.55
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,129.10 / $1,269.41 / $1,488.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$613.57 / $1,171.45 / $1,779.57
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$577.63 / $787.49 / $1,751.58
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$547.37 / $998.59 / $8,481.71
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,790.00 / $2,790.00 / $2,790.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$509.60 / $924.58 / $1,532.40