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New York rates for HCPCS 42890

Limited pharyngectomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,730.11 / $5,125.00 / $12,075.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,070.00 / $6,992.00 / $12,173.00
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,022.77 / $3,478.50 / $13,477.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,584.80 / $1,584.80 / $10,297.11
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$332.00 / $630.00 / $3,659.96
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,313.45 / $1,313.45 / $1,395.63
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$597.00 / $1,584.80 / $10,297.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,092.00 / $5,547.00 / $12,509.00
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,395.63 / $1,690.88 / $4,349.28