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Iowa rates for HCPCS 42281

Insertion of pin-retained palatal prosthesis

Facilitymedian $2,570 · 10th–90th $257$7,9430%5%10%10th90th$2,570Professionalmedian $234 · 10th–90th $155$5130%20%10th90th$234$10.0$50.0$200.0$1.0K$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$269.15 / $3,801.89 / $6,760.83
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$154.88 / $223.87 / $436.52
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,244.36 / $7,244.36 / $7,244.36
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$165.96 / $380.19 / $660.69
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$154.88 / $323.59 / $724.44
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$190.55 / $380.19 / $7,585.78
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$229.09 / $436.52 / $1,659.59
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$354.81 / $436.52 / $602.56
Midlands
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,244.36 / $7,244.36 / $7,244.36
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$234.42 / $407.38 / $616.60
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $436.52 / $602.56
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,570.40 / $7,244.36 / $15,488.17
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$169.82 / $263.03 / $512.86
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$316.23 / $371.54 / $512.86