go back

Colorado rates for HCPCS 42960

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

Facilitymedian $3,311 · 10th–90th $257–$9,1200%5%10%10th90th$3,311Professionalmedian $209 · 10th–90th $148–$5890%20%10th90th$209$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$208.93 / $3,311.31 / $10,964.78
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,454.71 / $3,467.37 / $8,511.38
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$602.56 / $602.56 / $1,412.54
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$147.91 / $208.93 / $588.84
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$660.69 / $1,479.11 / $2,691.53