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North Carolina rates for HCPCS 42820

Tonsillectomy & Adenoidectomy < Age 12

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$523.60 / $6,469.59 / $8,016.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$277.33 / $324.19 / $1,203.68
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,650.32 / $5,650.32 / $5,650.32
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$344.47 / $505.22 / $718.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$495.36 / $2,844.33 / $5,654.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$313.23 / $438.44 / $734.88
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$284.76 / $388.00 / $571.16
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.00 / $606.00 / $1,107.11
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,744.80 / $15,744.80 / $15,744.80
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$353.70 / $424.60 / $642.79
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$773.00 / $1,208.00 / $9,324.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$255.16 / $342.81 / $769.45
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,633.86 / $16,547.20 / $26,542.00
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,483.85 / $2,709.17 / $2,709.17