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Missouri rates for HCPCS 42280

Maxillary impression for palatal prosthesis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$818.00 / $2,507.00 / $7,365.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.93 / $164.22 / $217.23
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,114.00 / $4,050.00 / $9,663.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.00 / $164.09 / $266.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.00 / $62.00 / $62.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.67 / $181.99 / $349.27
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.66 / $185.62 / $434.11
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$166.70 / $343.76 / $1,315.68
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$247.00 / $760.00 / $1,351.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.10 / $234.64 / $422.91