go back

Oregon rates for HCPCS 42280

Maxillary Impresj Palatal Prosthesis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$244.06 / $4,283.46 / $8,728.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.14 / $177.85 / $566.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$155.65 / $155.65 / $196.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$152.13 / $283.76 / $479.80
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.10 / $286.41 / $433.19
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.80 / $268.11 / $416.50
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.07 / $273.27 / $426.98
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.77 / $317.58 / $355.10
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$153.47 / $274.55 / $459.08
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.93 / $305.73 / $465.45
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,245.03 / $1,561.00 / $2,059.69
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$209.62 / $322.41 / $484.33
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$177.00 / $1,078.00 / $5,183.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$256.00 / $363.99 / $591.99