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Louisiana rates for HCPCS 42960

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

Facilitymedian $1,175 · 10th–90th $288–$3,7150%5%10%10th90th$1,175$50.0$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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$398.11 / $1,288.25 / $3,890.45
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$245.47 / $457.09 / $1,047.13
Christus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$141.25 / $512.86 / $512.86
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$380.19 / $489.78 / $575.44
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$218.78 / $630.96 / $1,348.96