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Wisconsin rates for HCPCS 42821

Tonsillectomy & Adenoidectomy > Age 12

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$389.02 / $5,631.36 / $9,245.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,740.00 / $4,931.00 / $7,344.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$802.90 / $938.25 / $1,439.30
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$297.27 / $406.60 / $756.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$293.18 / $464.45 / $7,318.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$297.27 / $406.60 / $756.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$556.20 / $741.79 / $1,279.20
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$346.02 / $7,909.30 / $7,909.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,918.00 / $7,280.00 / $8,384.00