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Massachusetts rates for HCPCS 42281

Insertion of pin-retained palatal prosthesis

Facilitymedian $2,512 · 10th–90th $195$5,1290%5%10%10th90th$2,512Professionalmedian $245 · 10th–90th $158$5750%5%10%10th90th$245$100.0$500.0$2.0K$10.0K$50.0K

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
$213.80 / $3,090.30 / $5,128.61
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$151.36 / $218.78 / $446.68
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$407.38 / $2,344.23 / $15,135.61
AllWays Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$165.96 / $269.15 / $1,621.81
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$194.98 / $194.98 / $446.68
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,235.94 / $3,311.31 / $3,311.31
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$676.08 / $741.31 / $6,456.54
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$162.18 / $295.12 / $588.84
Fallon Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$144.54 / $229.09 / $3,311.31
Fallon Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$234.42 / $331.13 / $478.63
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$616.60 / $3,162.28 / $8,511.38
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$186.21 / $316.23 / $602.56
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$407.38 / $2,344.23 / $15,135.61
Mass General Brigham
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$165.96 / $269.15 / $1,621.81
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$616.60 / $2,951.21 / $10,715.19
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$169.82 / $302.00 / $616.60