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Maryland 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
$1,223.48 / $3,223.91 / $8,857.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,001.48 / $1,240.30 / $3,080.12
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,151.65 / $1,175.68 / $1,775.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$818.00 / $3,018.07 / $3,914.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$929.45 / $1,315.40 / $2,361.57
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,063.94 / $1,352.92 / $1,899.62
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,236.00 / $1,679.00 / $3,590.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$926.41 / $1,224.73 / $2,104.92
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$837.11 / $1,296.54 / $1,595.91