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Idaho rates for HCPCS 42960

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

Facilitymedian $513 · 10th–90th $174–$5,4950%10%20%10th90th$513$100.0$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
$1,412.54 / $1,548.82 / $5,495.41
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$77.62 / $489.78 / $1,584.89
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$169.82 / $245.47 / $489.78
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$870.96 / $1,230.27 / $1,737.80
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,819.70 / $8,317.64 / $9,332.54