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Rhode Island rates for HCPCS 42280

Maxillary impression for palatal prosthesis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,513.56 / $1,548.82 / $3,981.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $165.96 / $309.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $177.83 / $288.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$213.80 / $213.80 / $213.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $229.09 / $398.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.90 / $1,174.90 / $5,128.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $165.96 / $302.00