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Maine rates for HCPCS 42825

Tonsillectomy, primary or secondary; younger than age 12

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,513.56 / $3,311.31 / $10,000.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $316.23 / $707.95
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $398.11 / $630.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$457.09 / $457.09 / $870.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $380.19 / $691.83
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $457.09 / $758.58
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,513.56 / $3,311.31 / $10,000.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $398.11 / $758.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $371.54 / $602.56