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Maryland rates for HCPCS 42960

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

Facilitymedian $1,738 · 10th–90th $100–$3,1620%10%20%10th90th$1,738Professionalmedian $170 · 10th–90th $129–$2510%10%20%10th90th$170$50.0$100.0$200.0$500.0$1.0K$2.0K

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
$1,445.44 / $2,089.30 / $3,162.28
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$257.04 / $295.12 / $398.11
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$128.82 / $169.82 / $251.19
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$75.86 / $112.20 / $602.56