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Iowa rates for HCPCS 42831

Adenoidectomy, primary; age 12 or over

Facilitymedian $4,266 · 10th–90th $251–$7,9430%5%10%10th90th$4,266Professionalmedian $513 · 10th–90th $224–$8710%10%20%10th90th$513$200.0$500.0$1.0K$2.0K$5.0K$10.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$194.98 / $4,570.88 / $7,079.46
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,548.13 / $3,548.13 / $3,548.13
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$223.87 / $478.63 / $912.01
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$251.19 / $512.86 / $7,943.28
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$407.38 / $512.86 / $630.96
Midlands
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,548.13 / $3,548.13 / $3,548.13
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,951.21 / $6,165.95 / $8,709.64