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New York rates for HCPCS 42820

Tonsillectomy and adenoidectomy; younger than age 12

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$392.43 / $5,298.00 / $9,887.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$272.95 / $359.37 / $1,515.17
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,070.00 / $6,992.00 / $18,161.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$232.13 / $288.26 / $675.28
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$406.47 / $1,990.00 / $8,917.50
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$406.47 / $406.47 / $406.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$331.64 / $331.64 / $5,246.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$228.69 / $480.98 / $1,045.21
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$313.07 / $369.00 / $766.51
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$306.60 / $399.58 / $838.05
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.57 / $275.57 / $862.75
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$240.09 / $343.39 / $539.25
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,484.65 / $5,707.70 / $8,216.89
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$331.64 / $555.00 / $7,771.36
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$297.89 / $438.62 / $981.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,652.00 / $4,311.00 / $10,065.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$246.02 / $340.67 / $741.67
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$352.91 / $352.91 / $1,164.91
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$273.12 / $387.18 / $746.00