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Utah rates for HCPCS 42821

Tonsillectomy and adenoidectomy; age 12 or over

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,019.95 / $4,265.80 / $7,413.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,570.88 / $4,570.88 / $4,570.88
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,570.88 / $5,370.32 / $12,022.64
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $446.68 / $630.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,630.78 / $4,570.88 / $6,918.31