go back

Iowa rates for HCPCS 42890

Limited Pharyngectomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,091.00 / $7,119.04 / $11,611.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,932.00 / $1,932.00 / $1,932.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,282.17 / $1,933.01 / $4,273.85
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,485.33 / $3,161.11 / $11,732.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,198.00 / $3,772.37 / $5,383.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,770.00 / $7,487.00 / $11,732.00