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Colorado rates for HCPCS 42210

Palatoplasty for cleft palate, with closure of alveolar ridge; with bone graft to alveolar ridge (includes obtaining graft)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,506.00 / $3,133.00 / $9,872.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$992.36 / $1,098.63 / $2,071.71
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,946.00 / $9,472.00 / $17,487.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,123.52 / $1,497.92 / $2,213.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$800.00 / $1,210.81 / $3,559.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,093.08 / $1,470.38 / $2,179.01
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,098.63 / $1,416.81 / $1,867.67
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,279.96 / $1,599.95 / $2,239.92
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,664.00 / $11,924.00 / $19,712.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,144.04 / $1,575.00 / $2,470.78