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South Carolina rates for HCPCS 42280

Maxillary Impresj Palatal Prosthesis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$129.83 / $466.17 / $9,062.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.52 / $169.40 / $215.91
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$425.29 / $756.48 / $1,338.73
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.87 / $174.94 / $278.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$129.13 / $150.52 / $560.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.76 / $186.09 / $356.12
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$126.76 / $184.86 / $313.77
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.98 / $169.10 / $439.97
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.25 / $185.18 / $302.35
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $1,138.00 / $3,585.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.38 / $194.55 / $421.75