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Connecticut 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
$4,090.00 / $8,031.00 / $13,387.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$997.07 / $1,515.12 / $2,778.60
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$687.91 / $10,470.00 / $15,915.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,053.00 / $2,350.29 / $2,853.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$998.00 / $6,497.49 / $7,480.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,049.95 / $1,786.76 / $2,873.02
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,135.82 / $1,416.08 / $2,940.41
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,324.37 / $1,695.01 / $3,102.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,194.00 / $8,196.00 / $13,943.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$982.70 / $1,775.20 / $4,055.42