go back

Nebraska rates for HCPCS 42220

Palatoplasty for cleft palate; secondary lengthening procedure

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,463.36 / $10,506.16 / $21,899.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$530.37 / $530.37 / $969.49
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,813.88 / $17,126.81 / $30,056.44
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$510.69 / $870.51 / $1,160.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$617.35 / $1,314.34 / $1,790.54
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$530.37 / $901.63 / $1,574.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$828.00 / $1,230.28 / $8,481.71
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,030.80 / $1,392.00 / $5,251.23
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$828.00 / $1,230.28 / $1,760.96
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.00 / $767.10 / $1,495.10
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,178.00 / $7,441.00 / $8,816.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$828.56 / $1,112.48 / $1,449.54