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Arizona rates for HCPCS 42280

Maxillary Impresj Palatal Prosthesis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,170.00 / $2,771.00 / $6,305.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.98 / $157.40 / $263.88
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$412.80 / $1,541.29 / $2,700.74
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.88 / $154.57 / $224.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.08 / $128.38 / $210.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.29 / $167.40 / $313.41
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.04 / $169.98 / $351.21
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$142.38 / $209.92 / $1,315.68
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$285.00 / $1,424.00 / $2,057.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.85 / $179.20 / $336.21