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California rates for HCPCS 42821

Tonsillectomy & Adenoidectomy > Age 12

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,231.07 / $8,870.00 / $20,509.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,700.00 / $8,228.00 / $16,413.00
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.80 / $100.00 / $10,505.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$633.00 / $1,761.60 / $4,904.76
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$202.53 / $358.96 / $484.60
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$293.69 / $385.82 / $717.90
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,703.58 / $7,909.30 / $26,542.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$305.74 / $409.48 / $647.23
Sutter Health Plus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,239.00 / $4,239.00 / $4,239.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,181.00 / $7,218.00 / $15,471.00