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Kentucky 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
$896.00 / $1,547.91 / $10,152.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$985.40 / $1,056.29 / $1,320.74
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,320.00 / $4,334.00 / $11,433.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$874.39 / $1,059.56 / $1,471.32
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,006.12 / $1,380.95 / $1,593.02
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,084.26 / $1,380.95 / $1,972.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,210.81 / $1,210.81 / $1,210.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,012.84 / $1,350.02 / $2,089.23
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $1,085.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$719.00 / $1,298.00 / $10,113.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$991.22 / $1,358.97 / $2,093.80