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Georgia rates for HCPCS 42971

Control of nasopharyngeal hemorrhage, primary or secondary (eg, postadenoidectomy); complicated, requiring hospitalization

Facilitymedian $4,467 · 10th–90th $676–$9,5500%10%10th90th$4,467Professionalmedian $537 · 10th–90th $427–$9330%20%10th90th$537$10.0$50.0$200.0$1.0K$5.0K$20.0K

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
$630.96 / $5,370.32 / $9,549.93
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$426.58 / $512.86 / $870.96
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$851.14 / $3,311.31 / $8,912.51
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$457.09 / $741.31 / $1,148.15
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$416.87 / $416.87 / $416.87
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$199.53 / $588.84 / $831.76
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$426.58 / $616.60 / $1,047.13
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$407.38 / $537.03 / $1,071.52
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $831.76 / $1,148.15
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$426.58 / $2,454.71 / $6,606.93
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$416.87 / $575.44 / $977.24