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Washington, DC rates for HCPCS 42870

Excision or destruction lingual tonsil, any method (separate procedure)

Facilitymedian $4,074 · 10th–90th $1,413–$7,7620%10%20%10th90th$4,074Professionalmedian $617 · 10th–90th $589–$1,2300%50%10th90th$617$1.0K$2.0K$5.0K$10.0K$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
$1,412.54 / $4,073.80 / $6,456.54
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$588.84 / $616.60 / $1,230.27
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,819.70 / $10,000.00 / $29,512.09