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Pennsylvania rates for HCPCS 42890

Limited Pharyngectomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,506.57 / $4,761.00 / $10,398.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,639.91 / $11,851.00 / $26,582.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,025.00 / $4,138.63 / $8,219.10
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,138.47 / $3,138.47 / $3,138.47
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,459.00 / $5,511.00 / $11,083.00
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,074.30 / $1,074.30 / $1,074.30
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$966.00 / $3,260.00 / $7,820.94
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,062.82 / $1,386.19 / $1,386.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,530.00 / $3,879.00 / $7,000.00