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New Hampshire rates for HCPCS 42220

Palatoplasty for cleft palate; secondary lengthening procedure

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,949.84 / $2,398.83 / $15,848.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $588.84 / $1,148.15
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,011.87 / $5,623.41 / $8,912.51
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $1,148.15 / $1,659.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,951.21 / $2,951.21 / $2,951.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $831.76 / $1,513.56
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$977.24 / $4,570.88 / $11,220.18
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $891.25 / $1,412.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$977.24 / $4,570.88 / $11,220.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $891.25 / $1,584.89
Well Sense
Facility/Professional
Facility
Modifier
Low / Median / High Price
$436.52 / $512.86 / $741.31