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Washington, DC rates for HCPCS 42281

Insertion of pin-retained palatal prosthesis

Facilitymedian $4,074 · 10th–90th $275–$7,7620%10%20%10th90th$4,074Professionalmedian $224 · 10th–90th $151–$3890%10%10th90th$224$100.0$500.0$2.0K$10.0K

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
$275.42 / $4,073.80 / $6,456.54
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$154.88 / $223.87 / $380.19
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$154.88 / $169.82 / $6,456.54
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$147.91 / $229.09 / $616.60
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$234.42 / $275.42 / $478.63
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$812.83 / $6,606.93 / $29,512.09
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$134.90 / $218.78 / $446.68