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Tennessee rates for HCPCS 42280

Maxillary impression for palatal prosthesis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$219.24 / $1,821.00 / $6,681.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.73 / $163.00 / $252.99
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$540.00 / $1,364.00 / $2,063.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.86 / $189.92 / $314.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.00 / $143.68 / $258.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.40 / $181.59 / $310.95
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $552.19 / $552.19
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$796.56 / $1,273.76 / $1,473.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$231.00 / $740.00 / $2,127.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$152.38 / $210.09 / $378.54