go back

New York rates for HCPCS 42826

Tonsillectomy, primary or secondary; age 12 or over

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$339.62 / $5,731.46 / $10,965.00
Aetna
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$118.47 / $156.74 / $231.33
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,373.00 / $4,085.00 / $8,281.00
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$354.87 / $2,390.00 / $10,957.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$290.89 / $290.89 / $6,511.02
Cigna
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$232.05 / $232.05 / $232.05
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$290.68 / $332.00 / $7,533.00
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$242.23 / $242.23 / $1,040.38
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,022.60 / $6,423.66 / $7,757.57
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$290.89 / $555.00 / $6,511.02
MVP Health Care
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$232.05 / $232.05 / $232.05
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,693.00 / $4,311.00 / $10,065.00
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$310.02 / $310.02 / $1,040.38