go back

Wisconsin rates for HCPCS 42845

Radical resection of tonsil, tonsillar pillars, and/or retromolar trigone; closure with other flap

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,454.71 / $4,466.84 / $14,454.40
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,606.93 / $10,964.78 / $19,054.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,754.40 / $6,606.93 / $10,715.19
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,041.74 / $2,818.38 / $5,623.41
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,089.30 / $2,818.38 / $6,025.60
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,511.89 / $4,570.88 / $7,079.46
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,623.41 / $19,952.62 / $19,952.62
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,290.87 / $6,165.95 / $19,498.45