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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
$1,584.89 / $7,244.36 / $11,220.18
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,549.93 / $10,000.00 / $57,543.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.99 / $3,235.94 / $8,128.31
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,715.35 / $3,715.35 / $3,715.35
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,288.25 / $5,495.41 / $10,964.78
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,288.25 / $1,412.54 / $3,890.45
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,148.15 / $1,148.15 / $1,819.70
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,584.89 / $4,168.69 / $17,378.01