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New Mexico rates for HCPCS 42220

Palatoplasty for cleft palate; secondary lengthening procedure

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $7,838.38 / $8,644.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$510.61 / $594.23 / $832.65
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,345.93 / $15,048.81 / $23,961.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$652.83 / $652.83 / $3,456.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$570.30 / $792.30 / $1,026.56
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $893.01
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$514.46 / $657.43 / $1,004.56
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$593.78 / $840.98 / $1,511.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,705.00 / $11,259.00 / $12,494.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$596.05 / $832.51 / $1,240.26