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Oklahoma rates for HCPCS 42280

Maxillary impression for palatal prosthesis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.19 / $2,398.83 / $6,606.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $165.96 / $263.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $169.82 / $263.03
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$109.65 / $181.97 / $870.96
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $199.53 / $1,318.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.04 / $630.96 / $1,659.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $147.91 / $218.78