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Massachusetts rates for HCPCS 42960

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

Facilitymedian $2,188 · 10th–90th $186–$5,6230%5%10th90th$2,188$100.0$500.0$2.0K$10.0K$50.0K

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
$660.69 / $2,344.23 / $5,623.41
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$190.55 / $724.44 / $19,498.45
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$446.68 / $478.63 / $524.81
Fallon Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$134.90 / $213.80 / $3,311.31
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$229.09 / $1,819.70 / $3,467.37
Health New England
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,584.89 / $1,778.28 / $2,754.23
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$190.55 / $724.44 / $19,498.45
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$229.09 / $1,122.02 / $2,754.23