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Creating a Feeding Opening Into the Throat

Montana rates for HCPCS 42955

Makes an opening from the throat out through the skin of the neck so a feeding tube can be passed directly into the swallowing passage. It is used when a person cannot swallow safely or when the mouth and throat need to be bypassed, for instance after major surgery or injury in that area. The opening can be closed later if normal swallowing returns.

Facilitymedian $1,288 · 10th–90th $813$1,6980%20%40%10th90th$1,288Professionalmedian $912 · 10th–90th $708$1,9050%20%10th90th$912$100.0$200.0$500.0$1.0K$2.0K$5.0K

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
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$794.33
Typical High
$1,905.46
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,202.26
Median
$1,202.26
Typical High
$1,202.26
Cigna
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$1,023.29
Typical High
$2,290.87
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$1,288.25
Median
$1,318.26
Typical High
$1,584.89
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$1,288.25
Median
$1,318.26
Typical High
$1,584.89
Providence
Setting
Facility
Modifier
Global
Typical Low
$691.83
Median
$1,071.52
Typical High
$1,862.09
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$1,202.26
Typical High
$2,041.74
United
Setting
Facility
Modifier
Global
Typical Low
$891.25
Median
$891.25
Typical High
$3,162.28
United
Setting
Professional
Modifier
Global
Typical Low
$933.25
Median
$1,230.27
Typical High
$1,621.81