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Indiana rates for HCPCS 42280

Maxillary Impresj Palatal Prosthesis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$108.39 / $191.06 / $5,634.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.77 / $152.78 / $215.91
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$600.00 / $4,119.97 / $8,230.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.88 / $138.66 / $208.29
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$99.57 / $129.44 / $218.40
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.22 / $191.06 / $238.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$153.02 / $153.02 / $761.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.67 / $170.72 / $294.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$500.00 / $2,174.00 / $4,426.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.25 / $186.29 / $352.15