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Pennsylvania rates for HCPCS 42961

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$594.00 / $3,839.00 / $8,451.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,531.00 / $27,840.00 / $46,296.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$475.18 / $560.00 / $2,151.00
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$942.06 / $942.06 / $942.06
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,088.39 / $5,694.48 / $5,979.20
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$621.62 / $4,760.03 / $8,451.00
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$459.30 / $459.30 / $459.30
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$475.18 / $560.00 / $2,151.00
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$401.26 / $411.67 / $411.67
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$851.00 / $2,715.00 / $4,815.00