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Rhode Island rates for HCPCS 42280

Maxillary Impresj Palatal Prosthesis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,518.41 / $1,543.03 / $3,955.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.14 / $162.16 / $207.50
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.54 / $190.37 / $237.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$212.19 / $212.19 / $212.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.52 / $223.96 / $379.35
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$320.00 / $1,183.00 / $4,915.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$145.61 / $220.01 / $392.04