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Michigan rates for HCPCS 42955

Pharyngostomy (fistulization of pharynx, external for feeding)

Facilitymedian $2,884 · 10th–90th $1,047–$4,8980%20%10th90th$2,884Professionalmedian $832 · 10th–90th $708–$1,2880%20%10th90th$832$200.0$500.0$1.0K$2.0K$5.0K$10.0K

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
$2,884.03 / $2,884.03 / $4,897.79
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$707.95 / $812.83 / $1,288.25
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$707.95 / $1,122.02 / $1,122.02
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$229.09 / $1,122.02 / $1,122.02
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$630.96 / $912.01 / $1,819.70
Health Alliance Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$776.25 / $2,884.03 / $4,897.79
Health Alliance Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$707.95 / $870.96 / $1,445.44
Priority Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$602.56 / $812.83 / $1,412.54
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,000.00 / $2,630.27 / $5,623.41
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$660.69 / $912.01 / $1,318.26