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Wisconsin rates for HCPCS 42825

Tonsillectomy Primary/Secondary < Age 12

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$299.44 / $1,591.25 / $15,793.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$244.34 / $299.44 / $1,490.89
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,479.00 / $8,746.00 / $15,579.70
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$253.46 / $614.24 / $1,579.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$713.69 / $834.00 / $1,279.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$319.83 / $854.77 / $1,121.10
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$261.73 / $354.84 / $672.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$257.73 / $401.32 / $7,318.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$271.39 / $599.10 / $2,020.72
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.03 / $384.07 / $655.85
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$261.73 / $354.84 / $672.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$493.80 / $658.56 / $1,134.17
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$306.14 / $16,547.20 / $16,547.20
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$379.76 / $1,265.75 / $2,020.72
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$978.27 / $978.27 / $978.27
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$906.28 / $1,368.88 / $1,368.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,918.00 / $7,280.00 / $8,384.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$267.32 / $488.89 / $1,142.33