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Pennsylvania rates for HCPCS 42826

Tonsillectomy, primary or secondary; age 12 or over

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,023.29 / $5,754.40 / $10,471.29
Aetna
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$2,691.53 / $2,691.53 / $4,168.69
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,456.54 / $6,606.93 / $57,543.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$436.52 / $1,995.26 / $3,890.45
Cigna
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$346.74 / $346.74 / $346.74
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$524.81 / $524.81 / $524.81
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,511.89 / $7,244.36 / $13,803.84
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$812.83 / $5,370.32 / $10,000.00
Martin's Point
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$2,691.53 / $2,691.53 / $4,168.69
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.59 / $5,370.32 / $6,760.83
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$251.19 / $338.84 / $588.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$851.14 / $2,951.21 / $9,549.93