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South Carolina 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

Facilitymedian $3,467 · 10th–90th $2,188–$9,1200%10%10th90th$3,467Professionalmedian $2,239 · 10th–90th $2,089–$2,8840%20%10th90th$2,239$100.0$500.0$2.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,818.38 / $7,943.28 / $16,595.87
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,905.46 / $1,905.46 / $1,905.46
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $562.34 / $3,981.07
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,089.30 / $2,238.72 / $2,884.03
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,137.96 / $2,951.21 / $4,786.30
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$707.95 / $5,888.44 / $9,120.11