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Connecticut rates for HCPCS 42200

Palatoplasty for cleft palate, soft and/or hard palate only

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,090.30 / $6,606.93 / $11,481.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $1,000.00 / $3,090.30
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,317.64 / $14,125.38 / $16,595.87
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $1,698.24 / $2,344.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $4,570.88 / $5,888.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $1,380.38 / $2,511.89
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,174.90 / $1,174.90 / $1,174.90
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.13 / $1,412.54 / $1,737.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,202.26 / $8,709.64 / $13,803.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $1,174.90 / $2,754.23