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Wisconsin rates for HCPCS 42962

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

Facilitymedian $4,571 · 10th–90th $692–$8,1280%5%10%10th90th$4,571Professionalmedian $1,072 · 10th–90th $589–$1,8620%10%20%10th90th$1,072$500.0$1.0K$2.0K$5.0K$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
$660.69 / $2,290.87 / $7,413.10
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,311.31 / $4,897.79 / $9,332.54
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,348.96 / $1,584.89 / $2,511.89
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$436.52 / $676.08 / $3,715.35
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$436.52 / $691.83 / $7,943.28
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,071.52 / $5,754.40 / $7,762.47
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$588.84 / $1,071.52 / $1,659.59
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$870.96 / $7,943.28 / $7,943.28
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,862.09 / $1,862.09 / $1,862.09
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,897.79 / $7,585.78 / $9,120.11