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Vermont rates for HCPCS 42200

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$783.04 / $920.29 / $4,983.24
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,289.03 / $1,289.03 / $3,318.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$734.65 / $1,389.03 / $3,318.94
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$982.94 / $1,348.76 / $3,318.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,097.35 / $1,335.92 / $4,073.63