go back

Kansas rates for HCPCS 42280

Maxillary Impresj Palatal Prosthesis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$800.00 / $3,569.00 / $10,439.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.50 / $185.62 / $300.77
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$145.30 / $145.30 / $145.30
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.16 / $151.16 / $225.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.00 / $324.00 / $324.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.36 / $186.33 / $302.19
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114.03 / $185.62 / $336.01
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$166.70 / $261.86 / $1,315.68
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$191.00 / $550.00 / $1,713.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.90 / $205.02 / $330.21