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Oregon rates for HCPCS 42830

Adenoidectomy, primary; younger than age 12

Facilitymedian $417 · 10th–90th $229$9,7720%20%10th90th$417Professionalmedian $389 · 10th–90th $204$9770%10%10th90th$389$5.0$50.0$500.0$5.0K$50.0K$500.0K

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
$489.78 / $6,918.31 / $12,589.25
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$204.17 / $380.19 / $1,023.29
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,041.74 / $2,041.74 / $2,398.83
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$229.09 / $398.11 / $575.44
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$323.59 / $416.87 / $524.81
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$208.93 / $302.00 / $537.03
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$302.00 / $380.19 / $575.44
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$281.84 / $398.11 / $426.58
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$194.98 / $302.00 / $512.86
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $416.87 / $575.44
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,413.10 / $10,232.93 / $13,489.63
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$389.05 / $457.09 / $588.84
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,621.81 / $10,000.00 / $14,454.40
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$245.47 / $398.11 / $562.34