go back

Utah rates for HCPCS 42825

Tonsillectomy, primary or secondary; younger than age 12

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,691.53 / $4,570.88 / $7,943.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $323.59 / $1,071.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,570.88 / $4,570.88 / $4,570.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $354.81 / $562.34
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $501.19
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,317.64 / $10,000.00 / $22,387.21
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $426.58 / $549.54
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $501.19 / $575.44
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $398.11 / $562.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,630.78 / $4,570.88 / $6,918.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $288.40 / $457.09