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Connecticut rates for HCPCS 42280

Maxillary impression for palatal prosthesis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$354.81 / $4,570.88 / $8,511.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $165.96 / $316.23
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,137.96 / $3,162.28 / $11,220.18
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $251.19 / $407.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.12 / $177.83 / $1,000.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $213.80 / $436.52
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $288.40 / $380.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$354.81 / $3,162.28 / $6,760.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $177.83 / $398.11