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Wisconsin rates for HCPCS 42999

Unlisted Procedure Pharynx Adenoids/Tonsils

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$532.13 / $1,894.00 / $17,823.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,082.20 / $1,082.20 / $1,082.20
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,183.00 / $12,654.00 / $24,019.00
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,152.99 / $1,152.99 / $1,152.99
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,100.00 / $1,449.00 / $2,090.40
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.00 / $891.00 / $891.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $65.00 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,152.99 / $1,152.99 / $1,152.99
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,073.00 / $2,073.00 / $2,073.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.00 / $891.00 / $891.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,008.00 / $1,590.00 / $2,202.90