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Nevada 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
$1,550.00 / $3,509.00 / $7,674.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$979.17 / $1,142.14 / $1,563.47
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,647.00 / $5,379.00 / $8,190.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$981.38 / $1,211.41 / $1,953.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,069.49 / $4,007.23 / $4,285.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$767.24 / $1,256.34 / $1,909.00
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.00 / $1,194.39 / $3,791.22
Hometown Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,159.35 / $6,537.87 / $6,537.87
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.50 / $1,038.95 / $4,739.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,248.00 / $3,569.00 / $10,407.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.97 / $1,229.88 / $1,960.00