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Massachusetts rates for HCPCS 42830

Adenoidectomy, primary; younger than age 12

Facilitymedian $2,818 · 10th–90th $398$5,6230%10%20%10th90th$2,818Professionalmedian $355 · 10th–90th $204$9330%20%10th90th$355$0.5$5.0$50.0$500.0$5.0K$50.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$870.96 / $2,818.38 / $5,370.32
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$204.17 / $354.81 / $977.24
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$524.81 / $3,981.07 / $33,884.42
AllWays Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$199.53 / $323.59 / $1,584.89
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$446.68 / $1,659.59 / $1,659.59
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$676.08 / $912.01 / $3,090.30
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$199.53 / $323.59 / $588.84
Fallon Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$181.97 / $288.40 / $3,311.31
Fallon Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$181.97 / $263.03 / $398.11
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$524.81 / $3,801.89 / $9,772.37
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$199.53 / $354.81 / $549.54
Health New England
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.41 / $4,570.88 / $5,888.44
Health New England
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$371.54 / $371.54 / $398.11
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$524.81 / $3,981.07 / $33,884.42
Mass General Brigham
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$199.53 / $323.59 / $1,584.89
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$524.81 / $3,548.13 / $9,120.11
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$204.17 / $331.13 / $645.65