go back

Cleft Palate Repair With Gum Ridge Bone Graft

Vermont rates for HCPCS 42210

Closes a cleft in the roof of the mouth and rebuilds the gap in the gum ridge that holds the teeth, using a piece of the patient's own bone taken during the same operation. Filling the gum ridge gives the teeth a base to sit in and supports the shape of the upper jaw. It is usually done in childhood, timed around dental development.

Rates data updated July 2026.

Professionalmedian $1,148 · 10th–90th $1,072$1,5140%20%40%10th90th$1,148$500.0$1.0K$2.0K$5.0K$10.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,071.52
Median
$1,148.15
Typical High
$1,148.15
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,698.24
Median
$1,698.24
Typical High
$3,890.45
Cigna
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$1,412.54
Typical High
$2,454.71
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$1,148.15
Median
$1,445.44
Typical High
$2,818.38
United
Setting
Professional
Modifier
Global
Typical Low
$1,174.90
Median
$1,548.82
Typical High
$2,691.53