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Minnesota rates for HCPCS 42280

Maxillary Impresj Palatal Prosthesis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.66 / $174.33 / $2,042.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.66 / $164.22 / $300.83
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$514.55 / $966.60 / $2,034.11
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$211.62 / $370.96 / $621.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$404.08 / $630.66 / $1,517.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$211.87 / $425.73 / $756.78
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$350.17 / $556.04 / $1,194.59
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$233.53 / $382.67 / $690.07
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$131.83 / $224.33 / $500.15
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$196.17 / $453.55 / $1,315.68
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$133.00 / $1,727.00 / $2,883.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$191.86 / $352.84 / $687.22