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West Virginia rates for HCPCS 42220

Palatoplasty for cleft palate; secondary lengthening procedure

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$565.90 / $865.78 / $2,600.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$481.25 / $566.54 / $702.47
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$605.72 / $670.48 / $730.50
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$333.17 / $649.33 / $649.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$652.83 / $652.83 / $652.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$482.18 / $750.11 / $1,356.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$438.31 / $647.08 / $1,037.40