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Virginia 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
$1,137.24 / $4,771.00 / $9,539.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,153.00 / $7,363.00 / $9,410.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$490.00 / $610.00 / $1,131.51
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$958.20 / $1,169.14 / $1,693.03
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$958.20 / $1,281.58 / $1,960.12
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$923.11 / $1,227.04 / $2,379.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$908.00 / $5,815.00 / $12,680.00