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Delaware rates for HCPCS 42280

Maxillary impression for palatal prosthesis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,140.00 / $3,140.00 / $6,907.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.30 / $153.47 / $215.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.00 / $125.27 / $125.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.27 / $157.52 / $261.85
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.00 / $143.00 / $143.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.97 / $176.96 / $403.03