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Minnesota rates for HCPCS 42225

Palatoplasty for cleft palate; attachment pharyngeal flap

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$933.25 / $933.25 / $7,079.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $1,047.13 / $1,949.84
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,888.44 / $13,803.84 / $26,915.35
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,548.82 / $2,454.71 / $3,548.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,238.72 / $3,630.78 / $8,709.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,548.82 / $2,754.23 / $4,265.80
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,754.23 / $3,467.37 / $6,760.83
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,737.80 / $2,511.89 / $3,981.07
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.99 / $1,548.82 / $3,019.95
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.24 / $1,737.80 / $7,413.10
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,951.21 / $7,943.28 / $12,589.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.24 / $1,698.24 / $3,311.31