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Removal Of The Side Wall Of The Throat

Pennsylvania 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.

Facilitymedian $6,607 · 10th–90th $1,585$11,2200%10%10th90th$6,607$1.0K$2.0K$5.0K$10.0K$20.0K$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
Setting
Facility
Modifier
Global
Typical Low
$1,584.89
Median
$7,244.36
Typical High
$11,220.18
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$9,549.93
Median
$10,000.00
Typical High
$57,543.99
Cigna
Setting
Facility
Modifier
Global
Typical Low
$954.99
Median
$4,168.69
Typical High
$8,128.31
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$3,715.35
Median
$3,715.35
Typical High
$3,715.35
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$3,311.31
Median
$3,630.78
Typical High
$5,128.61
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$1,288.25
Median
$5,248.07
Typical High
$9,549.93
Oscar Health
Setting
Facility
Modifier
Global
Typical Low
$1,348.96
Median
$1,348.96
Typical High
$1,348.96
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$1,148.15
Median
$1,148.15
Typical High
$1,819.70
United
Setting
Facility
Modifier
Global
Typical Low
$1,659.59
Median
$4,897.79
Typical High
$19,054.61