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South Carolina rates for HCPCS 42960

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

Facilitymedian $851 · 10th–90th $186–$8,7100%5%10th90th$851Professionalmedian $257 · 10th–90th $240–$2750%50%10th90th$257$100.0$500.0$2.0K$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,630.27 / $4,570.88 / $9,772.37
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$147.91 / $281.84 / $588.84
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$309.03 / $371.54 / $426.58
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$239.88 / $257.04 / $275.42
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$162.18 / $223.87 / $363.08
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$354.81 / $1,122.02 / $3,548.13