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Illinois rates for HCPCS 42280

Maxillary Impresj Palatal Prosthesis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$205.97 / $1,055.00 / $4,634.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.77 / $166.45 / $269.64
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$448.20 / $929.60 / $2,132.35
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.48 / $186.29 / $292.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.00 / $183.19 / $1,000.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.12 / $188.00 / $318.70
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.97 / $244.07 / $358.08
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.66 / $134.82 / $232.75
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $263.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.00 / $891.00 / $3,399.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.09 / $224.05 / $383.69