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Wisconsin rates for HCPCS 42821

Tonsillectomy and adenoidectomy; age 12 or over

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$389.05 / $3,981.07 / $8,511.38
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,311.31 / $4,897.79 / $7,585.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$794.33 / $933.25 / $1,513.56
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$288.40 / $416.87 / $5,623.41
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$302.00 / $467.74 / $7,762.47
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $645.65 / $1,000.00
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,370.32 / $7,943.28 / $7,943.28
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,897.79 / $7,413.10 / $9,120.11