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Delaware rates for HCPCS 42281

Insertion of pin-retained palatal prosthesis

Facilitymedian $4,898 · 10th–90th $417–$7,2440%20%10th90th$4,898Professionalmedian $219 · 10th–90th $155–$3800%10%10th90th$219$100.0$200.0$500.0$1.0K$2.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,897.79 / $4,897.79 / $7,244.36
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$154.88 / $218.78 / $380.19
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,311.31 / $3,311.31 / $3,311.31
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$141.25 / $218.78 / $380.19
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $416.87 / $1,318.26
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$138.04 / $194.98 / $323.59