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Rhode Island rates for HCPCS 42225

Palatoplasty for cleft palate; attachment pharyngeal flap

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,467.37 / $3,715.35 / $3,981.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $1,047.13 / $2,041.74
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,000.00 / $1,348.96 / $1,905.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.99 / $5,370.32 / $5,370.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $1,513.56 / $2,344.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,230.27 / $6,025.60 / $12,589.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $1,202.26 / $2,187.76