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Pennsylvania rates for HCPCS 42821

Tonsillectomy & Adenoidectomy > Age 12

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$657.00 / $5,526.00 / $10,943.18
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,150.00 / $7,567.00 / $11,091.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$690.00 / $1,993.85 / $3,928.61
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$685.65 / $685.65 / $685.65
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,672.68 / $7,339.01 / $14,077.78
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$594.00 / $5,667.81 / $11,520.93
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$389.40 / $389.40 / $389.40
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$346.02 / $1,978.20 / $3,738.29
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$299.56 / $299.56 / $410.35
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$825.00 / $2,715.00 / $4,815.00