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Connecticut rates for HCPCS 42280

Maxillary Impresj Palatal Prosthesis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$246.83 / $4,450.00 / $8,031.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.23 / $181.52 / $340.64
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,734.00 / $6,763.00 / $10,470.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.59 / $272.33 / $416.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.00 / $254.30 / $998.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.53 / $214.84 / $423.87
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$556.16 / $809.30 / $1,060.24
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$211.76 / $274.08 / $496.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$357.00 / $3,075.00 / $6,664.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.31 / $267.63 / $687.38