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New Mexico rates for HCPCS 42280

Maxillary impression for palatal prosthesis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.36 / $288.40 / $7,762.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $165.96 / $281.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.90 / $134.90 / $181.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $186.21 / $288.40
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $245.47
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$109.65 / $181.97 / $302.00
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $194.98 / $309.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.33 / $1,096.48 / $2,344.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $186.21 / $302.00