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Massachusetts rates for HCPCS 42892

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

Facilitymedian $4,266 · 10th–90th $1,905–$8,7100%10%10th90th$4,266$100.0$500.0$2.0K$10.0K$50.0K

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
$2,691.53 / $4,570.88 / $8,511.38
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,905.46 / $6,025.60 / $33,884.42
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$446.68 / $1,445.44 / $6,456.54
Fallon Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,412.54 / $2,290.87 / $4,265.80
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$776.25 / $5,011.87 / $13,182.57
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,905.46 / $6,025.60 / $33,884.42
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,584.89 / $4,897.79 / $13,182.57