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Pennsylvania rates for HCPCS 42892

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,519.00 / $5,254.00 / $10,527.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,639.91 / $11,851.00 / $26,582.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,025.00 / $4,138.63 / $8,219.10
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,119.42 / $4,119.42 / $4,119.42
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,459.00 / $5,526.00 / $11,083.00
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,284.70 / $1,284.70 / $1,284.70
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$966.00 / $3,260.00 / $7,820.94
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,385.46 / $1,821.19 / $1,821.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,530.00 / $3,879.00 / $7,000.00