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California rates for HCPCS 42894

Resection of pharyngeal wall requiring closure with myocutaneous or fasciocutaneous flap or free muscle, skin, or fascial flap with microvascular anastomosis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,421.00 / $10,321.00 / $22,788.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,757.95 / $10,474.00 / $21,835.83
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.90 / $100.00 / $8,393.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$633.00 / $766.00 / $5,431.00
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,383.47 / $2,093.59 / $3,541.20
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,233.19 / $2,931.94 / $5,631.64
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $21,425.92 / $22,054.88
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,125.91 / $2,854.81 / $4,084.37
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,055.00 / $4,820.00 / $20,279.00