42826CPTSave

42826 - Removal of tonsils (12 years or older)

CPT section: Surgery: Digestive System

Medicare Physician Fee Schedule

Facility

Medicare Payment

$311.56

Submitted Charge$1,938.12
Medicare Allowed$394.18
Providers1,242
Beneficiaries1,302
Total Services1,590
Office

Medicare Payment

$173.79

Submitted Charge$1,080.50
Medicare Allowed$227.31
Providers23
Beneficiaries25
Total Services25

Source: CMS Medicare Physician & Other Practitioners public use file (national averages). Amounts are averages across providers, not a fee schedule lookup for a specific locality.