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Iowa rates for HCPCS 42892

Resection of lateral pharyngeal wall or pyriform sinus, direct closure by advancement of lateral and posterior pharyngeal walls

Facilitymedian $6,607 · 10th–90th $1,950–$12,3030%10%10th90th$6,607Professionalmedian $4,074 · 10th–90th $1,738–$6,9180%10%10th90th$4,074$200.0$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,162.28 / $6,606.93 / $8,128.31
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,244.36 / $7,244.36 / $7,244.36
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,698.24 / $3,162.28 / $7,079.46
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,778.28 / $4,073.80 / $14,454.40
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,951.21 / $4,365.16 / $4,897.79
Midlands
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,244.36 / $7,244.36 / $7,244.36
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,168.69 / $9,772.37 / $15,488.17