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Delaware 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
$6,316.00 / $6,316.00 / $6,907.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,056.29 / $1,084.91 / $1,515.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,025.00 / $3,200.76 / $3,200.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$943.99 / $1,255.90 / $1,926.73
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,663.00 / $2,530.00 / $2,530.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$928.10 / $1,175.38 / $2,509.34