Impression and custom preparation; palatal augmentation prosthesis
Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.
Insurance Carrier
Facility/Professional
Modifier
Typical Low
Median
Typical High
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,071.52 / $1,445.44 / $2,818.38
Professional
$1,071.52
$1,445.44
$2,818.38
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,202.26 / $1,698.24 / $3,162.28
Professional
$1,202.26
$1,698.24
$3,162.28
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,258.93 / $1,995.26 / $3,981.07
Professional
$1,258.93
$1,995.26
$3,981.07
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,096.48 / $1,659.59 / $3,019.95
Professional
$1,096.48
$1,659.59
$3,019.95
See more rates by state
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