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New Hampshire rates for HCPCS 42999

Unlisted procedure, pharynx, adenoids, or tonsils

Facilitymedian $2,754 · 10th–90th $295–$12,0230%10%20%10th90th$2,754Professionalmedian $813 · 10th–90th $468–$1,1220%20%10th90th$813$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
$295.12 / $2,137.96 / $9,772.37
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$467.74 / $812.83 / $1,122.02
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10,715.19 / $12,022.64 / $22,908.68
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$75.86 / $3,388.44 / $7,413.10
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$75.86 / $3,388.44 / $7,413.10
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$64.57 / $64.57 / $64.57
Well Sense
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,754.23 / $3,890.45 / $4,897.79