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North Carolina rates for HCPCS 42225

Palatoplasty for cleft palate; attachment pharyngeal flap

Facilitymedian $1,413 · 10th–90th $955$11,2200%10%20%10th90th$1,413Professionalmedian $1,413 · 10th–90th $955$2,6920%20%10th90th$1,413$1.0$5.0$20.0$100.0$500.0$2.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,288.25 / $3,981.07 / $12,589.25
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$912.01 / $1,096.48 / $2,089.30
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,818.38 / $3,235.94 / $3,630.78
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,023.29 / $1,445.44 / $2,818.38
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$501.19 / $3,388.44 / $5,623.41
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$812.83 / $1,348.96 / $2,344.23
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,621.81 / $1,621.81 / $1,621.81
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$912.01 / $1,202.26 / $1,905.46
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$977.24 / $977.24 / $2,570.40
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$831.76 / $870.96 / $870.96
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,584.89 / $8,317.64 / $16,982.44
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$794.33 / $1,071.52 / $1,862.09
Wellcare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,995.26 / $16,982.44 / $16,982.44
Wellcare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7,585.78 / $7,585.78 / $8,511.38