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Wisconsin rates for HCPCS 42950

Pharyngoplasty (plastic or reconstructive operation on pharynx)

Facilitymedian $8,318 · 10th–90th $1,349–$16,9820%5%10%10th90th$8,318Professionalmedian $1,738 · 10th–90th $955–$2,9510%10%20%10th90th$1,738$500.0$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
$891.25 / $1,621.81 / $14,454.40
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,165.95 / $10,232.93 / $17,378.01
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,137.96 / $2,454.71 / $3,981.07
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$776.25 / $1,122.02 / $3,981.07
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$776.25 / $1,258.93 / $8,317.64
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,659.59 / $5,754.40 / $7,762.47
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$954.99 / $1,737.80 / $2,691.53
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,318.26 / $16,595.87 / $16,595.87
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,951.21 / $2,951.21 / $2,951.21
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,570.88 / $7,585.78 / $9,772.37