go back

Pennsylvania rates for HCPCS 42960

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$170.18 / $1,819.00 / $8,247.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,083.51 / $1,395.00 / $12,759.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$320.00 / $446.00 / $816.23
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$362.29 / $362.29 / $362.29
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$929.17 / $1,624.21 / $5,611.71
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$237.85 / $1,819.00 / $8,017.00
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$192.50 / $192.50 / $192.50
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$182.82 / $432.61 / $1,113.00
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$157.52 / $157.52 / $164.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $541.00 / $3,742.00