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New York rates for HCPCS 42821

Tonsillectomy & Adenoidectomy > Age 12

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$395.95 / $5,845.00 / $12,051.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,373.00 / $4,463.00 / $18,161.00
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$424.73 / $2,644.00 / $12,319.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$346.02 / $346.02 / $7,289.38
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$326.50 / $385.00 / $7,533.00
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$287.33 / $287.33 / $1,192.63
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,101.64 / $5,221.14 / $13,721.78
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$346.02 / $555.00 / $7,289.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,693.00 / $4,311.00 / $10,065.00
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$368.43 / $368.43 / $1,262.77