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Vermont rates for HCPCS 42215

Palatoplasty Cleft Palate Major Revj

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$727.73 / $780.56 / $3,787.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$555.90 / $1,057.58 / $2,523.67
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$744.86 / $1,057.58 / $2,523.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$796.99 / $1,014.36 / $2,948.81