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Idaho rates for HCPCS 42280

Maxillary impression for palatal prosthesis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,412.54 / $4,466.84 / $5,495.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $169.82 / $323.59
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$173.78 / $741.31 / $1,584.89
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $269.15 / $346.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $190.55 / $316.23
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.82 / $208.93 / $426.58
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $208.93 / $363.08
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $33.11
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$933.25 / $1,230.27 / $1,737.80
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $239.88 / $354.81
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $194.98 / $851.14
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,819.70 / $8,317.64 / $9,332.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $190.55 / $323.59