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Return Surgery to Stop Nasal-Passage Bleeding

New Jersey rates for HCPCS 42972

A procedure to control bleeding from the back of the nose and upper throat area that requires a return trip to the operating room, typically after an earlier attempt to stop the bleeding was not enough. It is a more involved intervention than simple packing or cautery done at bedside. This is often needed after significant nosebleeds or as a complication following other ear, nose, and throat surgery.

Facilitymedian $6,761 · 10th–90th $4,365$10,9650%10%20%10th90th$6,761Professionalmedian $575 · 10th–90th $447$1,2590%10%10th90th$575$200.0$500.0$1.0K$2.0K$5.0K$10.0K$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
Setting
Facility
Modifier
Global
Typical Low
$4,466.84
Median
$6,918.31
Typical High
$10,964.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$562.34
Typical High
$1,148.15
Cigna
Setting
Facility
Modifier
Global
Typical Low
$851.14
Median
$851.14
Typical High
$851.14
Cigna
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$645.65
Typical High
$1,318.26
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$630.96
Typical High
$933.25
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$6,760.83
Median
$10,471.29
Typical High
$16,595.87
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$575.44
Typical High
$1,258.93
United
Setting
Facility
Modifier
Global
Typical Low
$2,089.30
Median
$5,128.61
Typical High
$8,511.38
United
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$575.44
Typical High
$1,071.52