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Florida rates for HCPCS 42280

Maxillary impression for palatal prosthesis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$141.41 / $3,279.00 / $11,576.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.84 / $142.87 / $215.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.00 / $114.04 / $183.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.99 / $171.80 / $299.13
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,618.00 / $2,845.00 / $6,066.00
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.59 / $132.56 / $198.64
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.15 / $172.61 / $276.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$188.00 / $1,454.00 / $4,429.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.42 / $174.17 / $326.91
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.75 / $134.81 / $134.81