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Montana rates for HCPCS 42280

Maxillary impression for palatal prosthesis

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $173.78 / $346.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$169.82 / $169.82 / $169.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $177.83 / $457.09
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$186.21 / $275.42 / $323.59
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $275.42 / $323.59
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.23 / $199.53 / $346.74
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $239.88 / $446.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $213.80 / $323.59