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Utah rates for HCPCS 42821

Tonsillectomy & Adenoidectomy > Age 12

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,134.17 / $4,247.00 / $7,048.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,247.00 / $4,247.00 / $4,247.00
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,525.68 / $6,104.56 / $8,896.10
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,981.00 / $4,247.00 / $6,959.00