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Maryland rates for HCPCS 42280

Maxillary impression for palatal prosthesis

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $169.82 / $302.00
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $120.23 / $169.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.12 / $120.23 / $154.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $169.82 / $302.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $208.93 / $288.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.86 / $107.15 / $602.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $162.18 / $295.12
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $239.88 / $281.84