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Rhode Island rates for HCPCS 42835

Adenoidectomy, secondary; younger than age 12

Facilitymedian $3,548 · 10th–90th $871–$6,9180%10%10th90th$3,548Professionalmedian $219 · 10th–90th $174–$4070%20%10th90th$219$200.0$500.0$1.0K$2.0K$5.0K$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
$3,019.95 / $3,715.35 / $3,981.07
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$173.78 / $208.93 / $407.38
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$199.53 / $269.15 / $380.19
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$831.76 / $2,570.40 / $2,570.40
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$190.55 / $309.03 / $467.74
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$831.76 / $3,548.13 / $7,413.10
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$169.82 / $234.42 / $407.38