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Texas 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
$945.00 / $3,660.00 / $10,893.00
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,026.10 / $2,026.10 / $2,048.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$900.00 / $2,277.00 / $4,619.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $55.00 / $21,425.92
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,114.27 / $2,656.85 / $5,027.84
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,125.91 / $2,666.67 / $5,360.94
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$385.00 / $1,970.00 / $8,583.00