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Pennsylvania rates for HCPCS 42830

Adenoidectomy Primary <Age 12

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$373.77 / $4,353.85 / $11,615.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$191.06 / $236.28 / $872.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,150.00 / $7,567.00 / $11,091.00
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$188.90 / $222.24 / $222.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$606.00 / $1,993.85 / $3,928.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$196.31 / $263.68 / $427.05
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$484.11 / $484.11 / $484.11
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$256.00 / $339.66 / $438.51
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,106.27 / $6,397.93 / $14,536.44
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$382.43 / $4,632.64 / $10,527.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$202.40 / $309.81 / $951.00
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$219.50 / $219.50 / $219.50
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.00 / $280.60 / $548.10
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$242.90 / $1,978.20 / $3,738.29
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$202.04 / $265.80 / $435.10
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$208.03 / $208.03 / $271.20
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$203.07 / $208.03 / $271.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$825.00 / $2,715.00 / $4,815.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.51 / $238.47 / $393.28