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Massachusetts rates for HCPCS 42280

Maxillary Impresj Palatal Prosthesis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.23 / $1,823.00 / $3,363.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.64 / $151.80 / $246.83
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $552.19 / $2,391.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.47 / $292.07 / $1,273.76
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.83 / $165.55 / $295.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.00 / $211.89 / $254.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.52 / $247.51 / $510.16
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$108.93 / $214.32 / $6,679.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$203.76 / $263.12 / $378.22
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.53 / $297.58 / $479.04
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $627.00 / $2,733.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.34 / $431.18 / $1,273.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$308.00 / $1,078.00 / $2,733.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$168.10 / $271.20 / $584.28