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Pennsylvania rates for HCPCS 42420

Excision of parotid tumor or parotid gland; total, with dissection and preservation of facial nerve

Facilitymedian $7,244 · 10th–90th $1,413–$13,1830%5%10%10th90th$7,244$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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,412.54 / $7,244.36 / $12,882.50
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8,511.38 / $10,000.00 / $57,543.99
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$954.99 / $3,235.94 / $8,128.31
Cigna
Facility/Professional
Facility
Modifier
22
Typical Low / Median / Typical High
$2,398.83 / $2,398.83 / $2,398.83
Cigna
Facility/Professional
Facility
Modifier
AS
Typical Low / Median / Typical High
$199.53 / $199.53 / $199.53
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,290.87 / $2,290.87 / $2,290.87
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,388.44 / $4,265.80 / $5,248.07
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,762.47 / $20,892.96 / $66,069.34
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,258.93 / $4,786.30 / $10,964.78
Oscar Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,659.59 / $1,659.59 / $1,659.59
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$933.25 / $933.25 / $1,412.54
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,659.59 / $4,897.79 / $19,054.61