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Kansas rates for HCPCS 42280

Maxillary impression for palatal prosthesis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$239.88 / $3,630.78 / $7,943.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $165.96 / $275.42
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$144.54 / $144.54 / $144.54
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $151.36 / $223.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.43 / $79.43 / $323.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $177.83 / $316.23
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$109.65 / $186.21 / $446.68
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $251.19 / $1,318.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$190.55 / $416.87 / $1,778.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $165.96 / $263.03