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Removal Of The Side Wall Of The Throat

Maine rates for HCPCS 42892

Removes a section of the side wall of the throat, including the pyriform sinus — the recess beside the voice box that food passes through on its way down. The gap left behind is closed by advancing the neighbouring walls of the throat and stitching them together, without bringing in tissue from elsewhere in the body. Swallowing is retrained afterwards as the area heals.

Rates data updated July 2026.

How much rates vary

Facilitymedian $1,349 · 10th to 90th $1,349 to $12,023
$2.0K$5.0K$10.0Kfacility $1,349

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,348.96
Median
$1,348.96
Typical High
$1,348.96
United
Setting
Facility
Modifier
Global
Typical Low
$12,022.64
Median
$12,022.64
Typical High
$12,022.64