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California rates for HCPCS 42820

Tonsillectomy and adenoidectomy; younger than age 12

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,720.79 / $7,721.00 / $18,252.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$264.48 / $407.66 / $1,380.00
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.39 / $281.39 / $281.39
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,700.00 / $8,484.00 / $18,150.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$294.72 / $407.06 / $820.10
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.80 / $100.00 / $7,833.76
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$225.80 / $339.71 / $764.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$538.01 / $3,461.93 / $9,842.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$279.95 / $380.00 / $826.27
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$168.65 / $343.65 / $463.93
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.39 / $369.62 / $687.83
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,633.86 / $16,547.20 / $26,542.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,483.85 / $2,630.26 / $2,709.17
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $421.67
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$293.00 / $389.63 / $618.57
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$293.30 / $408.45 / $788.50
Sutter Health Plus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,239.00 / $4,239.00 / $4,239.00
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$940.14 / $940.14 / $940.14
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$960.00 / $6,955.00 / $14,743.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$235.47 / $318.97 / $714.40