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Arkansas rates for HCPCS 42280

Maxillary impression for palatal prosthesis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$131.83 / $803.00 / $2,812.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.48 / $157.40 / $209.19
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$464.60 / $464.60 / $529.64
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.24 / $170.94 / $247.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$106.88 / $122.91 / $515.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.95 / $192.09 / $304.75
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.00 / $271.00 / $721.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$142.41 / $196.45 / $352.34