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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
$851.14 / $1,000.00 / $1,819.70
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,288.25 / $1,288.25 / $3,311.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $1,318.26 / $3,801.89
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.24 / $1,318.26 / $2,398.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.24 / $1,288.25 / $2,511.89