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Virginia rates for HCPCS 42280

Maxillary Impresj Palatal Prosthesis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.63 / $3,226.00 / $8,294.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.52 / $154.66 / $215.91
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,735.00 / $2,390.00 / $2,954.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.27 / $168.19 / $264.48
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.08 / $127.57 / $256.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.00 / $115.96 / $183.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.94 / $178.60 / $310.88
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$167.03 / $209.75 / $294.77
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$125.52 / $193.24 / $300.77
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$192.00 / $229.00 / $329.00
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$111.22 / $141.05 / $253.76
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.68 / $211.72 / $420.07
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.00 / $503.00 / $2,117.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.07 / $193.38 / $328.13