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Michigan rates for HCPCS 42830

Adenoidectomy, primary; younger than age 12

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$794.33 / $4,073.80 / $8,511.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $302.00 / $1,122.02
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $186.21 / $380.19
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.17 / $323.59 / $323.59
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $323.59 / $338.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $275.42 / $562.34
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.42 / $3,388.44 / $8,317.64
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $269.15 / $562.34
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $239.88 / $467.74
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.96 / $4,466.84 / $8,709.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $257.04 / $354.81