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Delaware rates for HCPCS 42225

Palatop Cl Palate Attachment Pharyngeal Flap

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,316.00 / $6,316.00 / $6,907.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$948.80 / $998.78 / $1,432.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,025.00 / $3,200.76 / $3,200.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$804.38 / $1,116.32 / $1,780.85
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,663.00 / $2,530.00 / $2,530.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$828.33 / $1,032.40 / $2,239.59