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New Mexico rates for HCPCS 42220

Palatoplasty for cleft palate; secondary lengthening procedure

Facilitymedian $1,000 · 10th–90th $603–$15,4880%10%10th90th$1,000Professionalmedian $617 · 10th–90th $525–$1,0230%20%10th90th$617$50.0$200.0$1.0K$5.0K$20.0K

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 / $2,089.30 / $8,709.64
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$524.81 / $616.60 / $1,023.29
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,365.16 / $15,135.61 / $23,988.33
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$562.34 / $758.58 / $1,047.13
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $831.76
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$549.54 / $741.31 / $1,288.25
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$537.03 / $794.33 / $1,348.96
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,698.24 / $11,220.18 / $19,054.61
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$575.44 / $794.33 / $1,230.27