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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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,304.53 / $5,748.92 / $20,680.40
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $3,229.62 / $22,054.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$500.00 / $870.49 / $947.00
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,272.30 / $4,628.30 / $6,009.41
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,432.45 / $4,573.42 / $4,734.89
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,181.42 / $3,181.42 / $3,229.62
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$650.00 / $1,120.00 / $5,793.00