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Oklahoma rates for HCPCS 42220

Palatoplasty for cleft palate; secondary lengthening procedure

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,346.00 / $4,728.00 / $14,100.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$481.25 / $605.82 / $710.89
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,585.95 / $10,387.98 / $16,473.50
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$557.20 / $749.20 / $971.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$530.32 / $714.88 / $887.97
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$584.33 / $765.27 / $7,567.45
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$521.19 / $699.35 / $8,481.71
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,481.00 / $5,407.00 / $9,232.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$496.31 / $643.82 / $975.66