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Wisconsin 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 $9,772 · 10th–90th $2,884–$18,1970%5%10%10th90th$9,772Professionalmedian $4,898 · 10th–90th $2,692–$8,7100%10%20%10th90th$4,898$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
$2,630.27 / $4,786.30 / $14,454.40
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,606.93 / $10,964.78 / $19,054.61
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,165.95 / $7,244.36 / $11,481.54
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,238.72 / $3,235.94 / $9,332.54
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,137.96 / $3,019.95 / $7,585.78
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,467.37 / $3,467.37 / $4,786.30
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,691.53 / $4,897.79 / $7,585.78
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,981.07 / $21,379.62 / $21,379.62
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8,709.64 / $8,709.64 / $8,709.64
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,995.26 / $6,760.83 / $19,498.45