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Florida rates for HCPCS 42999

Unlisted procedure, pharynx, adenoids, or tonsils

Facilitymedian $3,090 · 10th–90th $603–$8,1280%10%10th90th$3,090Professionalmedian $417 · 10th–90th $251–$4,3650%10%20%10th90th$417$1.0$5.0$20.0$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
$602.56 / $3,311.31 / $8,912.51
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$331.13 / $1,230.27 / $4,677.35
AvMed
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$245.47 / $4,897.79 / $12,302.69
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$398.11 / $398.11 / $512.86
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$416.87 / $416.87 / $1,096.48
Florida Blue
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,548.82 / $2,630.27 / $4,466.84
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$218.78 / $302.00 / $446.68
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$204.17 / $1,318.26 / $3,630.78
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$34.67 / $60.26 / $64.57
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$239.88 / $239.88 / $251.19