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Utah rates for HCPCS 42831

Adenoidectomy, primary; age 12 or over

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,584.89 / $4,570.88 / $7,943.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,570.88 / $4,570.88 / $4,570.88
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,570.88 / $5,370.32 / $12,022.64
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $338.84 / $467.74
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,630.78 / $4,570.88 / $6,918.31