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Louisiana rates for HCPCS 42280

Maxillary impression for palatal prosthesis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$338.84 / $1,288.25 / $3,890.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $165.96 / $302.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.59 / $602.56 / $1,071.52
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $194.98 / $275.42
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $95.50 / $109.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.86 / $100.00 / $181.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $186.21 / $331.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$190.55 / $524.81 / $1,288.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $162.18 / $263.03