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North Dakota rates for HCPCS 42280

Maxillary impression for palatal prosthesis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$110.18 / $180.92 / $2,000.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.66 / $163.00 / $199.53
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$215.67 / $306.00 / $445.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.74 / $278.63 / $470.22
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$110.18 / $183.32 / $331.52
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$168.29 / $311.18 / $1,315.68
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$125.00 / $125.00 / $125.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.72 / $266.49 / $418.39