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California rates for HCPCS 42821

Tonsillectomy and adenoidectomy; age 12 or over

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,715.35 / $8,317.64 / $19,952.62
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,025.60 / $10,471.29 / $17,782.79
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.07 / $3,981.07 / $12,022.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$758.58 / $1,659.59 / $2,630.27
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $316.23 / $426.58
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $316.23 / $660.69
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,943.28 / $7,943.28 / $42,657.95
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$295.12 / $407.38 / $676.08
Sutter Health Plus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,265.80 / $4,265.80 / $4,265.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,090.30 / $7,079.46 / $14,454.40