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Michigan rates for HCPCS 42226

Lengthening of palate, and pharyngeal flap

Facilitymedian $5,754 · 10th–90th $1,148–$7,9430%20%10th90th$5,754Professionalmedian $1,000 · 10th–90th $832–$1,5140%20%10th90th$1,000$200.0$500.0$1.0K$2.0K$5.0K$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
$4,897.79 / $4,897.79 / $5,754.40
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$851.14 / $977.24 / $1,548.82
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$851.14 / $851.14 / $851.14
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$275.42 / $1,288.25 / $1,348.96
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$758.58 / $1,096.48 / $2,398.83
Health Alliance Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$933.25 / $4,897.79 / $5,754.40
Health Alliance Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$851.14 / $1,047.13 / $1,737.80
Priority Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$724.44 / $1,000.00 / $1,905.46
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,467.37 / $7,585.78 / $14,791.08
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$794.33 / $1,122.02 / $1,548.82