go back

Michigan rates for HCPCS 42281

Insertion of pin-retained palatal prosthesis

Facilitymedian $4,074 · 10th–90th $214–$12,8820%10%20%10th90th$4,074Professionalmedian $219 · 10th–90th $151–$3310%10%10th90th$219$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
$213.80 / $4,073.80 / $12,882.50
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$154.88 / $213.80 / $316.23
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$41.69 / $245.47 / $245.47
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$48.98 / $245.47 / $363.08
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$154.88 / $223.87 / $467.74
Health Alliance Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$208.93 / $954.99 / $6,918.31
Health Alliance Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$158.49 / $234.42 / $407.38
Priority Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$154.88 / $213.80 / $316.23
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,000.00 / $4,677.35 / $12,022.64
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$158.49 / $223.87 / $338.84