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Massachusetts rates for HCPCS 42831

Adenoidectomy, primary; age 12 or over

Facilitymedian $3,090 · 10th–90th $282–$5,6230%10%10th90th$3,090$0.5$5.0$50.0$500.0$5.0K$50.0K

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
$645.65 / $3,388.44 / $5,370.32
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$562.34 / $3,981.07 / $33,884.42
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$831.76 / $912.01 / $3,090.30
Fallon Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$199.53 / $316.23 / $3,311.31
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$524.81 / $3,801.89 / $9,772.37
Health New England
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.43 / $645.65 / $5,370.32
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$562.34 / $3,981.07 / $33,884.42
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$524.81 / $3,548.13 / $9,120.11