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Virginia rates for HCPCS 42999

Unlisted procedure, pharynx, adenoids, or tonsils

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,088.60 / $3,226.00 / $8,294.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$762.79 / $2,004.00 / $5,743.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,007.00 / $8,164.00 / $12,873.00
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.00 / $3,293.00 / $4,284.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$490.00 / $526.00 / $925.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.75 / $21.75 / $21.75
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$470.00 / $470.00 / $470.00
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$370.00 / $1,169.82 / $9,929.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$370.00 / $1,169.82 / $9,929.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.00 / $503.00 / $2,117.00