go back

Michigan rates for HCPCS 42842

Radical resection of tonsil, tonsillar pillars, and/or retromolar trigone; without closure

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,279.97 / $4,933.00 / $4,933.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,844.30 / $5,752.01 / $7,900.25
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,020.55 / $4,933.00 / $4,933.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,450.00 / $5,819.00 / $7,355.00