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Mississippi rates for HCPCS 42280

Maxillary Impresj Palatal Prosthesis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$160.96 / $950.00 / $1,831.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.39 / $188.11 / $492.65
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$157.63 / $157.63 / $157.63
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.58 / $228.00 / $228.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.79 / $103.34 / $118.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $175.59 / $306.06
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $32.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$216.00 / $485.00 / $1,888.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.27 / $208.52 / $445.07