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Illinois rates for HCPCS 42725

Incision and drainage abscess; retropharyngeal or parapharyngeal, external approach

Facilitymedian $3,090 · 10th–90th $1,000–$8,5110%5%10th90th$3,090Professionalmedian $1,413 · 10th–90th $851–$2,7540%10%10th90th$1,413$100.0$500.0$2.0K$10.0K

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
$1,000.00 / $2,187.76 / $5,888.44
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,265.80 / $8,511.38 / $13,489.63
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$398.11 / $1,288.25 / $5,623.41
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$851.14 / $1,412.54 / $2,754.23
Hally Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,238.72 / $5,370.32 / $12,302.69