go back

Montana rates for HCPCS 42281

Insertion of pin-retained palatal prosthesis

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.03 / $206.94 / $1,229.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$254.49 / $254.49 / $254.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.82 / $254.49 / $494.39
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.73 / $236.86 / $379.50
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$214.89 / $354.39 / $571.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$303.91 / $358.04 / $469.88