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Ohio rates for HCPCS 42892

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

Facilitymedian $7,586 · 10th–90th $2,239–$12,5890%5%10%10th90th$7,586$100.0$500.0$2.0K$10.0K

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
$2,818.38 / $8,912.51 / $12,302.69
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,905.46 / $4,168.69 / $15,135.61
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,737.80 / $1,949.84 / $3,630.78
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,096.48 / $3,090.30 / $4,897.79
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,096.48 / $3,090.30 / $5,888.44
SummaCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $7,244.36
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,047.13 / $6,025.60 / $13,489.63