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Utah rates for HCPCS 42820

Tonsillectomy & Adenoidectomy < Age 12

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,409.27 / $4,257.26 / $7,433.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$264.48 / $392.41 / $1,200.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,247.00 / $4,247.00 / $4,247.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$326.83 / $399.82 / $606.53
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.97 / $217.80 / $297.69
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,413.68 / $11,103.62 / $16,181.16
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$385.11 / $479.08 / $609.45
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,981.00 / $4,247.00 / $6,959.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$256.06 / $357.76 / $612.85