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Nationwide rates for HCPCS 42281

Insertion of pin-retained palatal prosthesis

Facilitymedian $3,631 · 10th–90th $219$11,4820%10%10th90th$3,631Professionalmedian $224 · 10th–90th $155$4570%20%40%10th90th$224$0.1$1.0$20.0$500.0$10.0K$200.0K

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
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$295.12 / $3,981.07 / $10,715.19
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$154.88 / $218.78 / $389.05
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,884.03 / $7,762.47 / $16,982.44
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$144.54 / $218.78 / $416.87
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$269.15 / $831.76 / $4,570.88
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$158.49 / $251.19 / $524.81
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$741.31 / $2,884.03 / $7,762.47
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$144.54 / $229.09 / $436.52