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Virginia 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 $3,548 · 10th–90th $2,188–$19,0550%5%10%10th90th$3,548Professionalmedian $2,399 · 10th–90th $2,042–$4,0740%20%10th90th$2,399$500.0$1.0K$2.0K$5.0K$10.0K$20.0K$50.0K

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
$2,818.38 / $4,168.69 / $9,549.93
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8,511.38 / $18,620.87 / $25,118.86
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$489.78 / $524.81 / $3,981.07
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,995.26 / $2,398.83 / $4,073.80
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,238.72 / $2,290.87 / $4,265.80
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,137.96 / $3,019.95 / $4,677.35
Sentara
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,905.46 / $2,754.23 / $5,248.07
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$512.86 / $3,162.28 / $5,754.40