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Fitting Of A Pin-Retained Palate Plate

South Carolina rates for HCPCS 42281

A custom-made plate for the roof of the mouth is put in place and held with small pins so it stays firmly seated. The plate covers an opening or a missing section of the palate, separating the mouth from the nose so eating and speech work normally. This step is the placement of the finished device.

Rates data updated July 2026.

Facilitymedian $324 · 10th–90th $186$11,7490%5%10%10th90th$324Professionalmedian $214 · 10th–90th $155$3390%10%10th90th$214$50.0$200.0$1.0K$5.0K$20.0K

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
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$9,772.37
Typical High
$21,877.62
Aetna
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$213.80
Typical High
$323.59
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,023.29
Median
$4,265.80
Typical High
$7,244.36
BCBS
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$199.53
Typical High
$302.00
Cigna
Setting
Facility
Modifier
Global
Typical Low
$371.54
Median
$588.84
Typical High
$3,801.89
Cigna
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$245.47
Typical High
$489.78
Medcost
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$281.84
Typical High
$288.40
Medcost
Setting
Facility
Modifier
Global
Typical Low
$169.82
Median
$245.47
Typical High
$416.87
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$1,479.11
Median
$6,165.95
Typical High
$12,022.64
United
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$213.80
Typical High
$346.74