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Ohio rates for HCPCS 42955

Pharyngostomy (fistulization of pharynx, external for feeding)

Facilitymedian $3,311 · 10th–90th $977$10,7150%10%10th90th$3,311Professionalmedian $832 · 10th–90th $661$1,5850%20%10th90th$832$10.0$50.0$200.0$1.0K$5.0K$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
$1,148.15 / $3,715.35 / $10,715.19
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$707.95 / $851.14 / $2,238.72
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$954.99 / $2,511.89 / $5,888.44
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$616.60 / $776.25 / $1,258.93
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$691.83 / $794.33 / $912.01
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$776.25 / $776.25 / $870.96
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$512.86 / $912.01 / $1,258.93
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$512.86 / $933.25 / $1,621.81
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$512.86 / $912.01 / $1,659.59
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$426.58 / $933.25 / $1,479.11
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $33.11
SummaCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $1,905.46
SummaCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$691.83 / $812.83 / $1,548.82
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$724.44 / $2,290.87 / $5,248.07
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$588.84 / $831.76 / $1,318.26