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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

Facilitymedian $10,000 · 10th–90th $2,570–$16,9820%5%10%10th90th$10,000Professionalmedian $3,890 · 10th–90th $2,138–$6,9180%10%20%10th90th$3,890$1.0K$2.0K$5.0K$10.0K$20.0K

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
$2,041.74 / $3,801.89 / $14,454.40
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,606.93 / $10,964.78 / $18,197.01
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,786.30 / $5,623.41 / $9,120.11
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,659.59 / $2,344.23 / $8,912.51
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,659.59 / $2,398.83 / $13,489.63
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,801.89 / $9,332.54 / $15,848.93
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,137.96 / $3,890.45 / $6,025.60
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,090.30 / $16,982.44 / $16,982.44
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6,918.31 / $6,918.31 / $6,918.31
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,248.07 / $12,022.64 / $15,848.93