go back

Minnesota rates for HCPCS 42890

Limited pharyngectomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,348.96 / $1,348.96 / $7,762.47
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,762.47 / $13,803.84 / $31,622.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,235.94 / $5,128.61 / $12,302.69
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,981.07 / $4,897.79 / $9,772.37
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,258.93 / $2,089.30 / $4,265.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,951.21 / $7,943.28 / $12,589.25