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Oklahoma rates for HCPCS 42280

Maxillary Impresj Palatal Prosthesis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$625.00 / $2,923.00 / $7,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.64 / $152.66 / $188.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.12 / $180.72 / $259.07
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$116.41 / $185.27 / $610.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.22 / $212.28 / $1,315.68
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$139.00 / $610.00 / $1,883.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$146.66 / $183.34 / $291.73