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Utah rates for HCPCS 42830

Adenoidectomy Primary <Age 12

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$320.64 / $3,104.90 / $5,821.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$189.84 / $278.82 / $846.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,247.00 / $4,247.00 / $4,247.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$243.49 / $299.99 / $447.66
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.32 / $159.30 / $201.55
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,525.68 / $6,104.56 / $8,896.10
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$282.41 / $341.28 / $434.15
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,981.00 / $4,247.00 / $6,959.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$184.45 / $249.90 / $428.39