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Wisconsin 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
$2,041.74 / $3,801.89 / $14,454.40
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,606.93 / $10,964.78 / $18,197.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,786.30 / $5,623.41 / $9,120.11
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,621.81 / $2,238.72 / $8,128.31
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,698.24 / $2,344.23 / $13,182.57
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,137.96 / $3,890.45 / $6,025.60
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,220.18 / $16,982.44 / $16,982.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,585.78 / $12,302.69 / $16,218.10