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New York rates for HCPCS 42220

Palatoplasty for cleft palate; secondary lengthening procedure

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$731.21 / $4,905.00 / $11,880.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$502.35 / $603.64 / $1,148.95
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,070.00 / $6,992.00 / $12,173.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$486.48 / $597.77 / $1,259.65
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$826.92 / $2,644.00 / $12,319.50
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$826.92 / $826.92 / $826.92
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$652.83 / $652.83 / $7,289.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.12 / $872.57 / $2,017.19
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$332.00 / $620.80 / $1,529.66
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$611.87 / $791.54 / $1,176.14
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$541.41 / $541.41 / $1,192.63
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$470.52 / $664.72 / $1,073.88
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$597.00 / $652.83 / $16,269.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$591.35 / $851.56 / $1,949.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,160.00 / $5,547.00 / $13,746.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$484.65 / $671.08 / $1,686.63
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$691.93 / $691.93 / $2,242.88
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$482.91 / $776.03 / $1,471.00