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Iowa rates for HCPCS 42825

Tonsillectomy Primary/Secondary < Age 12

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$863.68 / $4,760.00 / $7,120.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$244.34 / $445.66 / $1,134.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,285.00 / $1,285.00 / $1,285.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.16 / $621.72 / $777.15
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$248.03 / $404.93 / $985.41
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$417.20 / $665.16 / $8,571.40
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$296.86 / $571.62 / $2,020.72
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$432.00 / $727.80 / $5,383.60
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$400.71 / $598.97 / $785.26
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.00 / $487.70 / $690.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,770.00 / $5,327.00 / $8,342.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$274.52 / $453.04 / $812.43
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$417.28 / $528.20 / $621.40