go back

Pennsylvania 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
$1,301.00 / $3,839.00 / $8,113.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,531.00 / $27,840.00 / $46,296.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$500.00 / $800.00 / $2,649.47
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,224.22 / $5,224.22 / $5,224.22
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,013.00 / $4,761.00 / $8,247.00
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,834.40 / $1,834.40 / $1,834.40
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$500.00 / $800.00 / $2,649.47
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,781.34 / $2,313.25 / $2,313.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$388.00 / $2,020.00 / $6,322.00