go back

Indiana rates for HCPCS 42890

Limited pharyngectomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,396.86 / $2,318.00 / $17,225.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,719.00 / $11,294.00 / $22,813.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,273.20 / $1,655.16 / $1,909.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$761.00 / $1,584.80 / $3,909.74
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,529.00 / $9,550.00 / $15,750.00