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Wyoming rates for HCPCS 42280

Maxillary Impresj Palatal Prosthesis

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.93 / $153.47 / $182.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$283.00 / $438.00 / $712.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.09 / $224.64 / $383.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$293.00 / $293.00 / $3,239.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$176.42 / $314.97 / $648.10