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Hawaii rates for HCPCS 42821

Tonsillectomy & Adenoidectomy > Age 12

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,861.43 / $2,747.00 / $6,084.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,749.74 / $1,749.74 / $1,749.74
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$342.68 / $373.84 / $436.14
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,981.00 / $1,981.00 / $1,981.00