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Virginia rates for HCPCS 42972

Control of nasopharyngeal hemorrhage, primary or secondary (eg, postadenoidectomy); with secondary surgical intervention

Facilitymedian $955 · 10th–90th $513$7,0790%10%10th90th$955Professionalmedian $575 · 10th–90th $468$1,0000%10%20%10th90th$575$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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$602.56 / $5,128.61 / $8,317.64
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$467.74 / $562.34 / $1,000.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,090.30 / $3,981.07 / $4,466.84
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$489.78 / $660.69 / $1,000.00
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$478.63 / $562.34 / $4,073.80
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$489.78 / $1,412.54 / $1,584.89
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$436.52 / $602.56 / $954.99
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$426.58 / $512.86 / $891.25
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$676.08 / $741.31 / $1,000.00
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$478.63 / $660.69 / $1,023.29
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$524.81 / $524.81 / $1,122.02
Sentara
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$512.86 / $630.96 / $1,905.46
Sentara
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$512.86 / $630.96 / $1,905.46
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$575.44 / $2,754.23 / $5,754.40
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$416.87 / $602.56 / $977.24