go back

Ohio rates for HCPCS 42820

Tonsillectomy and adenoidectomy; younger than age 12

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$515.02 / $5,996.26 / $9,504.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$277.33 / $346.78 / $819.33
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,441.00 / $3,554.00 / $19,117.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.73 / $321.06 / $520.41
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$276.52 / $331.82 / $414.02
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$276.52 / $359.48 / $639.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$331.64 / $4,048.28 / $5,935.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$283.30 / $387.13 / $582.27
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,346.52 / $3,506.28 / $7,190.89
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$290.35 / $389.27 / $578.94
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.82 / $280.90 / $419.22
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$800.00 / $4,072.00 / $6,238.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$248.92 / $340.38 / $591.04