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North Carolina rates for HCPCS 42961

Control oropharyngeal hemorrhage, primary or secondary (eg, post-tonsillectomy); complicated, requiring hospitalization

Facilitymedian $617 · 10th–90th $407–$3,6310%20%10th90th$617Professionalmedian $676 · 10th–90th $676–$6760%50%100%$676$1.0$5.0$20.0$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
$407.38 / $1,023.29 / $7,585.78
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$323.59 / $512.86 / $35,481.34
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$676.08 / $676.08 / $676.08
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$389.05 / $512.86 / $812.83
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$954.99 / $5,370.32 / $10,232.93
Wellcare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$56.23 / $2,630.27 / $2,630.27