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Louisiana rates for HCPCS 42825

Tonsillectomy, primary or secondary; younger than age 12

Facilitymedian $3,020 · 10th–90th $832–$9,3330%5%10th90th$3,020Professionalmedian $324 · 10th–90th $245–$6030%10%10th90th$324$50.0$200.0$1.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$676.08 / $2,951.21 / $7,585.78
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$251.19 / $323.59 / $691.83
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,090.30 / $6,025.60 / $11,220.18
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$309.03 / $371.54 / $436.52
Christus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$39.81 / $239.88 / $2,818.38
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$724.44 / $1,000.00 / $4,265.80
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$251.19 / $346.74 / $602.56
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$831.76 / $2,884.03 / $9,120.11
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$218.78 / $295.12 / $478.63