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Florida rates for HCPCS 42836

Adenoidectomy, secondary; age 12 or over

Facilitymedian $5,888 · 10th–90th $1,259–$12,5890%10%10th90th$5,888Professionalmedian $263 · 10th–90th $200–$5250%20%10th90th$263$50.0$200.0$1.0K$5.0K$20.0K

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
$1,230.27 / $5,495.41 / $10,715.19
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$218.78 / $269.15 / $616.60
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$467.74 / $467.74 / $467.74
AvMed
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$851.14 / $3,467.37 / $11,220.18
AvMed
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$190.55 / $239.88 / $275.42
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$416.87 / $724.44 / $1,548.82
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$213.80 / $323.59 / $537.03
Florida Blue
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,025.60 / $12,882.50 / $23,442.29
Florida Blue
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$120.23 / $223.87 / $295.12
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $309.03
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,621.81 / $5,248.07 / $9,549.93
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$177.83 / $251.19 / $446.68
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$190.55 / $190.55 / $251.19