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Ohio rates for HCPCS 42962

Control oropharyngeal hemorrhage, primary or secondary (eg, post-tonsillectomy); with secondary surgical intervention

Facilitymedian $3,388 · 10th–90th $851–$9,7720%5%10%10th90th$3,388$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$977.24 / $3,467.37 / $10,715.19
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$954.99 / $2,511.89 / $5,888.44
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$489.78 / $549.54 / $1,737.80
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$489.78 / $831.76 / $2,398.83
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$512.86 / $870.96 / $3,090.30
SummaCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $4,073.80
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$870.96 / $4,168.69 / $7,943.28