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Louisiana rates for HCPCS 42999

Unlisted procedure, pharynx, adenoids, or tonsils

Facilitymedian $1,202 · 10th–90th $380–$3,7150%5%10%10th90th$1,202Professionalmedian $295 · 10th–90th $295–$1,1750%20%40%90th$295$100.0$200.0$500.0$1.0K$2.0K$5.0K

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
$676.08 / $1,318.26 / $3,890.45
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$295.12 / $295.12 / $1,174.90
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$223.87 / $407.38 / $630.96
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$489.78 / $676.08 / $1,202.26
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,096.48 / $1,096.48 / $1,096.48
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$177.83 / $501.19 / $1,258.93
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $79.43 / $81.28