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Louisiana rates for HCPCS 42280

Maxillary impression for palatal prosthesis

Facilitymedian $1,148 · 10th–90th $251–$3,4670%5%10%10th90th$1,148Professionalmedian $166 · 10th–90th $105–$2750%10%10th90th$166$50.0$100.0$200.0$500.0$1.0K$2.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$338.84 / $1,288.25 / $3,890.45
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$104.71 / $165.96 / $275.42
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$323.59 / $616.60 / $1,047.13
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$144.54 / $194.98 / $275.42
Christus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$39.81 / $95.50 / $109.65
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$75.86 / $100.00 / $169.82
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$114.82 / $190.55 / $346.74
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$218.78 / $645.65 / $1,348.96
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$97.72 / $162.18 / $263.03