go back

Florida 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
$985.40 / $6,763.00 / $14,333.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$927.44 / $1,056.29 / $1,547.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$695.00 / $2,907.91 / $3,559.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$875.41 / $1,359.72 / $2,162.00
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,743.00 / $12,190.00 / $22,833.00
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$486.09 / $980.50 / $1,279.10
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.98 / $880.91 / $1,422.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,731.00 / $10,254.00 / $15,888.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$836.71 / $1,154.43 / $2,137.53
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.08 / $831.08 / $831.08