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New Jersey rates for HCPCS 42280

Maxillary impression for palatal prosthesis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,570.40 / $5,888.44 / $10,964.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $169.82 / $363.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$181.97 / $181.97 / $181.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $186.21 / $398.11
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $239.88 / $380.19
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $1,584.89 / $2,570.40
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $190.55 / $363.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,258.93 / $2,754.23 / $7,762.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $144.54 / $302.00