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New Hampshire rates for HCPCS 42280

Maxillary Impresj Palatal Prosthesis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $371.46 / $2,331.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.23 / $143.25 / $222.18
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,223.09 / $1,426.62 / $2,500.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.28 / $216.44 / $336.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.79 / $249.01 / $476.15
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.97 / $256.75 / $548.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $3,360.00 / $7,448.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.34 / $286.97 / $599.33
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.94 / $120.32 / $171.30