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Wisconsin rates for HCPCS 42225

Palatoplasty for cleft palate; attachment pharyngeal flap

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,096.48 / $2,041.74 / $8,511.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $1,047.13 / $1,949.84
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,606.93 / $10,964.78 / $18,197.01
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.99 / $1,862.09 / $4,786.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,570.40 / $3,019.95 / $4,786.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.24 / $2,089.30 / $4,073.80
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$912.01 / $1,258.93 / $5,623.41
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,737.80 / $2,137.96 / $3,019.95
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$933.25 / $1,348.96 / $13,182.57
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.99 / $1,621.81 / $7,413.10
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $70.79
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,258.93 / $2,290.87 / $3,548.13
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,220.18 / $16,595.87 / $16,595.87
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.25 / $4,786.30 / $7,413.10
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,630.78 / $3,630.78 / $3,630.78
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,818.38 / $3,630.78 / $4,897.79
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,585.78 / $12,302.69 / $16,218.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $1,288.25 / $3,715.35