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North Carolina rates for HCPCS 42280

Maxillary impression for palatal prosthesis

Facilitymedian $186 · 10th–90th $107$1,0230%10%20%10th90th$186Professionalmedian $204 · 10th–90th $112$4270%10%20%10th90th$204$1.0$5.0$20.0$100.0$500.0$2.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$173.78 / $416.87 / $7,585.78
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$107.15 / $173.78 / $331.13
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$114.82 / $131.83 / $147.91
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$125.89 / $223.87 / $457.09
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$50.12 / $162.18 / $501.19
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$123.03 / $194.98 / $363.08
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$223.87 / $223.87 / $223.87
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$107.15 / $173.78 / $288.40
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$169.82 / $169.82 / $457.09
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$144.54 / $151.36 / $151.36
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$81.28 / $549.54 / $1,479.11
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$100.00 / $154.88 / $275.42
Wellcare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$56.23 / $1,288.25 / $1,288.25
Wellcare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,288.25 / $1,288.25 / $1,479.11