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Virginia rates for HCPCS 42821

Tonsillectomy & Adenoidectomy > Age 12

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$431.58 / $5,040.00 / $11,025.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,060.00 / $3,693.00 / $4,290.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$346.02 / $1,142.00 / $1,568.92
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$292.93 / $366.16 / $522.10
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$318.37 / $408.80 / $609.95
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$308.25 / $391.55 / $708.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$908.00 / $5,815.00 / $12,680.00