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Utah rates for HCPCS 42830

Adenoidectomy, primary; younger than age 12

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,071.52 / $4,168.69 / $7,585.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $295.12 / $912.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,570.88 / $4,570.88 / $4,570.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $281.84 / $467.74
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $389.05
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,570.88 / $5,370.32 / $12,022.64
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $338.84 / $436.52
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $389.05 / $457.09
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $316.23 / $446.68
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,630.78 / $4,570.88 / $6,918.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $229.09 / $371.54