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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
$1,407.00 / $4,500.00 / $7,045.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.57 / $199.40 / $521.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.69 / $194.80 / $307.58
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.37 / $256.58 / $521.92
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.07 / $212.20 / $341.58
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $244.13 / $307.13
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$877.58 / $1,237.18 / $1,667.05
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.94 / $241.48 / $353.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,800.00 / $8,244.00 / $9,193.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.72 / $231.83 / $372.57