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Nebraska rates for HCPCS 42999

Unlisted procedure, pharynx, adenoids, or tonsils

Facilitymedian $4,571 · 10th–90th $1,549–$12,5890%10%20%10th90th$4,571Professionalmedian $151 · 10th–90th $151–$3,3880%50%90th$151$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
$2,187.76 / $6,165.95 / $12,589.25
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$151.36 / $151.36 / $3,388.44
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,025.60 / $7,943.28 / $15,488.17
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$288.40 / $1,230.27 / $4,365.16
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$295.12 / $1,047.13 / $3,801.89
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$69.18 / $69.18 / $83.18