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New York rates for HCPCS 42831

Adenoidectomy, primary; age 12 or over

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$286.95 / $4,779.00 / $10,965.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,373.00 / $4,085.00 / $8,281.00
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$319.39 / $2,390.00 / $10,957.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$263.74 / $263.74 / $6,511.02
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$234.00 / $319.00 / $612.29
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$219.47 / $219.47 / $1,040.38
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,333.23 / $4,864.50 / $6,225.79
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$263.74 / $555.00 / $6,511.02
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,693.00 / $4,311.00 / $10,065.00
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$280.74 / $280.74 / $1,040.38