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New York rates for HCPCS 42821

Tonsillectomy and adenoidectomy; age 12 or over

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$426.58 / $6,165.95 / $12,022.64
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,630.27 / $5,011.87 / $19,498.45
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$426.58 / $2,630.27 / $12,302.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$512.86 / $512.86 / $7,943.28
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$316.23 / $426.58 / $1,047.13
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$288.40 / $288.40 / $288.40
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,168.69 / $5,754.40 / $7,762.47
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$316.23 / $50,118.72 / $75,857.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,819.70 / $4,365.16 / $9,549.93
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$251.19 / $371.54 / $1,258.93