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Washington rates for HCPCS 42821

Tonsillectomy & Adenoidectomy > Age 12

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$439.06 / $9,496.18 / $17,732.50
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,140.42 / $8,552.21 / $26,542.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,005.16 / $1,223.70 / $3,302.92
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$343.50 / $672.52 / $3,021.20
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$439.44 / $581.55 / $619.08
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.25 / $904.15 / $1,781.59
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,916.52 / $9,118.81 / $17,453.22
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,100.00 / $2,038.00 / $10,522.00