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West Virginia rates for HCPCS 42280

Maxillary Impresj Palatal Prosthesis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$105.82 / $168.80 / $1,400.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.97 / $143.25 / $209.19
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.28 / $114.25 / $136.34
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.39 / $121.19 / $178.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$183.19 / $183.19 / $183.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.54 / $186.05 / $436.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.41 / $177.27 / $283.72