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New Hampshire rates for HCPCS 42280

Maxillary impression for palatal prosthesis

Facilitymedian $1,479 · 10th–90th $372–$8,9130%10%10th90th$1,479Professionalmedian $191 · 10th–90th $110–$3890%5%10%10th90th$191$100.0$200.0$500.0$1.0K$2.0K$5.0K$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
$371.54 / $1,819.70 / $9,772.37
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$107.15 / $169.82 / $331.13
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,288.25 / $1,412.54 / $3,467.37
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$97.72 / $223.87 / $338.84
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$138.04 / $223.87 / $398.11
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$75.86 / $3,388.44 / $7,413.10
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$123.03 / $229.09 / $436.52
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$75.86 / $3,388.44 / $7,413.10
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$120.23 / $229.09 / $446.68
Well Sense
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$109.65 / $125.89 / $223.87