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Oklahoma rates for HCPCS 42280

Maxillary impression for palatal prosthesis

Facilitymedian $1,122 · 10th–90th $135–$6,4570%5%10th90th$1,122Professionalmedian $166 · 10th–90th $105–$2450%10%10th90th$166$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
$501.19 / $2,398.83 / $6,606.93
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$104.71 / $162.18 / $234.42
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$114.82 / $169.82 / $251.19
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$109.65 / $181.97 / $812.83
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$151.36 / $199.53 / $1,318.26
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$138.04 / $616.60 / $1,548.82
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$97.72 / $147.91 / $213.80