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Ohio rates for HCPCS 42831

Adenoidectomy, primary; age 12 or over

Facilitymedian $4,266 · 10th–90th $389–$10,7150%5%10%10th90th$4,266$1.0$5.0$20.0$100.0$500.0$2.0K$10.0K

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
$389.05 / $4,677.35 / $11,748.98
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,000.00 / $2,754.23 / $7,244.36
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$218.78 / $245.47 / $1,737.80
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$389.05 / $691.83 / $2,398.83
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$389.05 / $2,290.87 / $3,801.89
SummaCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $4,073.80
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$870.96 / $4,168.69 / $7,943.28