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Pennsylvania rates for HCPCS 42821

Tonsillectomy and adenoidectomy; age 12 or over

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,148.15 / $6,606.93 / $11,748.98
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,456.54 / $6,606.93 / $57,543.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$512.86 / $1,995.26 / $3,890.45
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$616.60 / $616.60 / $616.60
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,905.46 / $7,943.28 / $14,454.40
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$912.01 / $6,025.60 / $11,481.54
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$389.05 / $426.58 / $616.60
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$302.00 / $407.38 / $691.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$851.14 / $2,951.21 / $9,549.93