go back

Nebraska rates for HCPCS 42280

Maxillary impression for palatal prosthesis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$371.54 / $3,801.89 / $12,589.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $169.82 / $338.84
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,235.94 / $4,265.80 / $8,317.64
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $199.53 / $331.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $251.19 / $524.81
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.15 / $190.55 / $363.08
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $380.19 / $1,318.26
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $338.84 / $512.86
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $331.13 / $407.38
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.01 / $213.80 / $478.63
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.08 / $1,230.27 / $4,466.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $223.87 / $416.87