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New Jersey rates for HCPCS 42821

Tonsillectomy and adenoidectomy; age 12 or over

Facilitymedian $7,244 · 10th–90th $3,388–$11,7490%5%10%10th90th$7,244$500.0$1.0K$2.0K$5.0K$10.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,388.44 / $7,244.36 / $11,748.98
AmeriHealth
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,235.94 / $6,760.83 / $11,748.98
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$512.86 / $512.86 / $512.86
Horizon BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,760.83 / $10,964.78 / $16,595.87
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,511.89 / $6,165.95 / $10,471.29