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Return Surgery to Stop Nasal-Passage Bleeding

South Dakota 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 $813 · 10th–90th $479$4,3650%10%20%10th90th$813Professionalmedian $589 · 10th–90th $479$1,2020%10%20%10th90th$589$500.0$1.0K$2.0K$5.0K

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
$478.63
Median
$3,548.13
Typical High
$4,365.16
Aetna
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$524.81
Typical High
$707.95
Cigna
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$1,174.90
Typical High
$1,479.11
Medica
Setting
Facility
Modifier
Global
Typical Low
$436.52
Median
$776.25
Typical High
$1,445.44
Medica
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$812.83
Typical High
$3,801.89
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,122.02
Median
$1,174.90
Typical High
$1,174.90
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,047.13
Median
$1,047.13
Typical High
$1,047.13
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$831.76
Typical High
$1,000.00
United
Setting
Facility
Modifier
Global
Typical Low
$1,995.26
Median
$1,995.26
Typical High
$6,760.83
United
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$776.25
Typical High
$1,380.38
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$1,202.26
Typical High
$1,202.26