go back

New Hampshire rates for HCPCS 42890

Limited Pharyngectomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $4,998.76 / $5,229.63
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,769.10 / $5,299.00 / $8,600.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,906.58 / $3,906.58 / $4,043.31
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$972.00 / $4,574.00 / $11,155.00