go back

Maine rates for HCPCS 42280

Maxillary Impresj Palatal Prosthesis

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.46 / $171.43 / $216.56
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.31 / $207.29 / $286.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$183.19 / $183.19 / $699.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.52 / $220.72 / $388.16
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.19 / $217.64 / $386.29
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.46 / $171.43 / $262.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.15 / $233.09 / $386.29