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Limited Removal Of Part Of The Throat

South Carolina rates for HCPCS 42890

Removes a limited portion of the pharynx — the muscular tube behind the mouth and nose that carries food down to the swallowing tube — usually to take out a growth along with a rim of healthy tissue around it. Only part of the pharynx is taken and the remaining tissue is closed. Swallowing is retrained afterwards as the area heals.

Facilitymedian $5,370 · 10th–90th $1,413$17,3780%5%10th90th$5,370Professionalmedian $1,318 · 10th–90th $1,230$1,6980%20%10th90th$1,318$500.0$1.0K$2.0K$5.0K$10.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$3,890.45
Median
$12,022.64
Typical High
$18,197.01
BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,630.78
Median
$8,912.51
Typical High
$17,378.01
Cigna
Setting
Facility
Modifier
Global
Typical Low
$562.34
Median
$2,344.23
Typical High
$3,801.89
Medcost
Setting
Professional
Modifier
Global
Typical Low
$1,230.27
Median
$1,318.26
Typical High
$1,698.24
Medcost
Setting
Facility
Modifier
Global
Typical Low
$1,258.93
Median
$1,737.80
Typical High
$2,884.03
United
Setting
Facility
Modifier
Global
Typical Low
$2,884.03
Median
$14,791.08
Typical High
$25,703.96