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New York rates for HCPCS 42725

Incision and drainage abscess; retropharyngeal or parapharyngeal, external approach

Facilitymedian $5,129 · 10th–90th $1,230–$11,4820%5%10%10th90th$5,129$500.0$1.0K$2.0K$5.0K$10.0K$20.0K$50.0K

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
$1,148.15 / $3,715.35 / $9,120.11
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,981.07 / $7,762.47 / $13,803.84
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,122.02 / $1,698.24 / $6,165.95
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,348.96 / $1,659.59 / $50,118.72
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$346.74 / $831.76 / $1,862.09
Excellus BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$758.58 / $758.58 / $758.58
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$831.76 / $50,118.72 / $75,857.76
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,290.87 / $5,248.07 / $12,589.25
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$645.65 / $954.99 / $2,884.03