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Pennsylvania rates for HCPCS 42999

Unlisted Procedure Pharynx Adenoids/Tonsils

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$512.75 / $2,667.00 / $7,197.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$395.25 / $1,070.00 / $4,573.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,083.51 / $1,395.00 / $12,759.45
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55,249.45 / $64,999.35 / $64,999.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$495.00 / $800.00 / $2,269.00
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
$68.13 / $609.52 / $2,688.07
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$594.00 / $2,483.00 / $7,799.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$317.00 / $818.00 / $5,457.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$495.00 / $800.00 / $2,269.00
Priority Health
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
$80.00 / $541.00 / $3,742.00