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California rates for HCPCS 42831

Adenoidectomy, primary; age 12 or over

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,642.99 / $7,945.00 / $20,509.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,500.00 / $6,797.00 / $13,326.00
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.90 / $100.00 / $9,241.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$633.00 / $1,761.60 / $4,904.76
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.02 / $282.74 / $381.70
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$228.14 / $300.38 / $551.34
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,300.68 / $7,909.30 / $26,542.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$231.95 / $307.68 / $452.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,181.00 / $7,218.00 / $15,471.00