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Palate Lengthening After Cleft Repair

New Hampshire rates for HCPCS 42220

A follow-up surgery to lengthen the roof of the mouth after an earlier repair of a cleft palate, a birth difference in which the roof of the mouth does not fully close. It is performed to improve function such as speech or swallowing when the palate is too short after the original repair.

Facilitymedian $3,890 · 10th–90th $977$15,8490%10%10th90th$3,890Professionalmedian $741 · 10th–90th $537$1,4450%10%10th90th$741$100.0$500.0$2.0K$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
Setting
Facility
Modifier
Global
Typical Low
$1,949.84
Median
$2,398.83
Typical High
$15,848.93
Aetna
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$602.56
Typical High
$1,230.27
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$5,623.41
Typical High
$9,120.11
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$1,148.15
Typical High
$1,659.59
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2,951.21
Median
$2,951.21
Typical High
$2,951.21
Cigna
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$831.76
Typical High
$1,412.54
Harvard Pilgrim
Setting
Facility
Modifier
Global
Typical Low
$977.24
Median
$4,570.88
Typical High
$11,220.18
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$912.01
Typical High
$1,412.54
United
Setting
Facility
Modifier
Global
Typical Low
$977.24
Median
$4,570.88
Typical High
$11,220.18
United
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$933.25
Typical High
$1,862.09
Well Sense
Setting
Facility
Modifier
Global
Typical Low
$331.13
Median
$371.54
Typical High
$707.95