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South Carolina rates for HCPCS 42225

Palatoplasty for cleft palate; attachment pharyngeal flap

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,691.53 / $10,000.00 / $18,197.01
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
$3,715.35 / $9,332.54 / $17,378.01
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $1,000.00 / $1,380.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$371.54 / $1,621.81 / $3,715.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $1,258.93 / $2,630.27
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,023.29 / $1,023.29 / $1,621.81
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$912.01 / $1,288.25 / $2,137.96
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.24 / $977.24 / $977.24
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $33.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,698.24 / $16,982.44 / $25,703.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $1,071.52 / $1,905.46