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Rhode Island rates for HCPCS 42220

Palatoplasty for cleft palate; secondary lengthening procedure

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,467.37 / $3,715.35 / $3,981.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $616.60 / $1,548.82
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $776.25 / $1,122.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.99 / $954.99 / $5,370.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $870.96 / $1,380.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,230.27 / $6,025.60 / $12,589.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $707.95 / $1,318.26