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Washington 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 $4,677 · 10th–90th $2,570–$10,2330%10%20%10th90th$4,677$1.0K$2.0K$5.0K$10.0K$20.0K

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
$4,466.84 / $6,025.60 / $20,892.96
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$501.19 / $870.96 / $3,981.07
Kaiser Permanente
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,290.87 / $4,073.80 / $6,025.60
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,754.23 / $4,570.88 / $4,677.35
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,162.28 / $3,162.28 / $3,235.94
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$691.83 / $1,258.93 / $3,715.35