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Illinois rates for HCPCS 42870

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

Facilitymedian $3,090 · 10th–90th $955$9,3330%5%10%10th90th$3,090Professionalmedian $1,000 · 10th–90th $575$1,9050%10%10th90th$1,000$100.0$500.0$2.0K$10.0K

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
$954.99 / $2,884.03 / $8,511.38
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,265.80 / $8,317.64 / $11,220.18
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$446.68 / $588.84 / $5,623.41
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$575.44 / $1,000.00 / $1,905.46
Hally Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,698.24 / $4,365.16 / $8,511.38