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Adenoid Removal In A Child

Maine rates for HCPCS 42830

Surgical removal of the adenoids, small tissue pads located behind the nose at the back of the throat, in a child having the surgery for the first time. It is typically done to relieve chronic nasal blockage, recurring ear infections, or breathing problems during sleep caused by enlarged adenoids.

Facilitymedian $4,365 · 10th–90th $1,202$10,2330%10%20%10th90th$4,365Professionalmedian $295 · 10th–90th $209$5620%10%10th90th$295$200.0$500.0$1.0K$2.0K$5.0K$10.0K$20.0K

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
Setting
Facility
Modifier
Global
Typical Low
$1,202.26
Median
$4,365.16
Typical High
$10,232.93
Aetna
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$275.42
Typical High
$575.44
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$331.13
Typical High
$512.86
Cigna
Setting
Facility
Modifier
Global
Typical Low
$870.96
Median
$870.96
Typical High
$870.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$309.03
Typical High
$512.86
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$323.59
Typical High
$562.34
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$269.15
Typical High
$537.03
United
Setting
Facility
Modifier
Global
Typical Low
$6,760.83
Median
$6,760.83
Typical High
$6,760.83
United
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$295.12
Typical High
$588.84