go back

Washington rates for HCPCS 42890

Limited Pharyngectomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,008.51 / $6,470.00 / $27,598.31
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,722.80 / $16,547.20 / $26,542.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,394.89 / $1,698.13 / $6,910.09
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,595.25 / $3,053.24 / $6,320.69
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,068.11 / $2,738.29 / $2,858.04
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,912.57 / $1,994.21 / $3,953.90
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,761.59 / $16,595.73 / $31,745.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,400.00 / $3,509.00 / $16,315.00