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Montana rates for HCPCS 42821

Tonsillectomy and adenoidectomy; age 12 or over

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,398.83 / $3,235.94 / $7,585.78
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46,773.51 / $81,283.05 / $95,499.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489.78 / $489.78 / $489.78
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$512.86 / $524.81 / $616.60
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$295.12 / $446.68 / $758.58