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Wisconsin rates for HCPCS 42831

Adenoidectomy Primary Age > 12

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$258.01 / $863.27 / $14,482.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,740.00 / $4,931.00 / $7,344.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$619.07 / $723.43 / $1,109.76
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$224.23 / $302.11 / $488.31
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$222.59 / $333.18 / $7,318.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$219.31 / $301.87 / $488.31
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$425.40 / $567.34 / $980.20
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$263.74 / $7,909.30 / $7,909.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,918.00 / $7,280.00 / $8,384.00