go back

Vermont rates for HCPCS 42220

Palatoplasty for cleft palate; secondary lengthening procedure

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $602.56 / $1,148.15
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,288.25 / $1,288.25 / $2,089.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $812.83 / $2,398.83
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $812.83 / $1,513.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $812.83 / $1,584.89