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Virginia rates for HCPCS 42825

Tonsillectomy, primary or secondary; younger than age 12

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$328.84 / $4,500.22 / $9,539.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$255.22 / $293.95 / $571.41
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,153.00 / $7,363.00 / $9,410.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.08 / $321.08 / $456.67
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$292.60 / $293.04 / $1,729.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$306.14 / $988.00 / $3,282.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.75 / $345.78 / $575.41
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$260.22 / $325.27 / $452.40
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.39 / $353.00 / $523.12
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$328.00 / $371.00 / $638.16
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$270.16 / $336.63 / $624.04
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$270.16 / $336.63 / $624.04
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$908.00 / $5,815.00 / $12,680.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.40 / $325.27 / $505.18