go back

Massachusetts rates for HCPCS 42820

Tonsillectomy & Adenoidectomy < Age 12

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$514.27 / $2,733.00 / $6,405.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$268.19 / $346.74 / $1,272.00
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$720.64 / $3,600.11 / $26,542.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$307.69 / $563.77 / $2,709.17
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$570.32 / $1,033.32 / $3,212.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$680.00 / $748.00 / $6,493.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$300.47 / $480.96 / $916.37
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$299.75 / $814.00 / $6,679.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$337.22 / $428.04 / $638.12
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$364.13 / $718.79 / $928.17
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,672.91 / $4,434.04 / $4,789.62
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$509.56 / $886.32 / $918.21
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,061.00 / $4,249.00 / $26,542.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$327.27 / $563.77 / $2,709.17
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,061.00 / $2,854.00 / $5,714.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$307.69 / $491.03 / $1,330.01