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Vermont rates for HCPCS 42215

Palatoplasty for cleft palate; major revision

Professionalmedian $759 · 10th–90th $676$1,0230%20%40%10th90th$759$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
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$676.08 / $758.58 / $912.01
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$288.40 / $977.24 / $1,621.81
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$741.31 / $933.25 / $1,819.70
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$758.58 / $1,023.29 / $1,737.80