go back

New York rates for HCPCS 42999

Unlisted procedure, pharynx, adenoids, or tonsils

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,550.00 / $4,200.00 / $9,267.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$700.00 / $2,626.00 / $10,170.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $50.00 / $50.00
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,350.00 / $1,350.00 / $4,050.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,538.00 / $7,227.90 / $7,227.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,102.00 / $1,102.00 / $1,102.00
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,813.00 / $8,640.00 / $8,640.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55,249.45 / $55,249.45 / $55,249.45
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$792.00 / $792.00 / $3,025.16
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.00 / $7,227.90 / $74,999.25
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,102.00 / $1,102.00 / $1,102.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$671.00 / $2,597.00 / $4,840.00