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Utah rates for HCPCS 42220

Palatoplasty Cleft Palate Sec Lngth Px

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$699.34 / $5,743.00 / $10,026.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$502.35 / $699.34 / $1,672.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$581.04 / $760.37 / $1,201.08
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.28 / $408.12 / $544.27
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,413.68 / $11,103.62 / $16,181.16
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.90 / $893.95 / $1,108.27
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,912.00 / $7,693.00 / $13,847.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$506.81 / $638.58 / $1,121.33