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Nationwide rates for HCPCS 42960

Control oropharyngeal hemorrhage, primary or secondary (eg, post-tonsillectomy); simple

Facilitymedian $2,630 · 10th–90th $224$8,3180%10%10th90th$2,630Professionalmedian $219 · 10th–90th $138$5890%20%10th90th$219$0.1$2.0$50.0$1.0K$20.0K$500.0K

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
$323.59 / $3,162.28 / $9,120.11
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,380.38 / $3,630.78 / $9,332.54
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$275.42 / $436.52 / $1,174.90
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$199.53 / $1,000.00 / $3,235.94