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Wisconsin rates for HCPCS 42830

Adenoidectomy, primary; younger than age 12

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$234.42 / $3,162.28 / $8,317.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $363.08 / $1,122.02
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,311.31 / $4,786.30 / $7,585.78
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $407.38 / $1,023.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$562.34 / $660.69 / $1,071.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $457.09 / $912.01
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$199.53 / $281.84 / $5,248.07
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $467.74 / $676.08
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$208.93 / $331.13 / $7,762.47
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $363.08 / $1,584.89
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $70.79
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $457.09 / $707.95
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,370.32 / $7,943.28 / $7,943.28
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $1,000.00 / $1,584.89
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $776.25 / $776.25
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $794.33 / $1,096.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,897.79 / $7,413.10 / $9,120.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $288.40 / $776.25