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Alaska rates for HCPCS 42810

Excision branchial cleft cyst or vestige, confined to skin and subcutaneous tissues

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,082.81 / $10,175.36 / $13,413.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$282.58 / $408.76 / $1,979.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$341.19 / $546.13 / $1,206.69
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$339.66 / $1,473.74 / $2,771.43
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$730.27 / $1,231.20 / $2,461.19
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$875.56 / $1,559.25 / $2,330.10
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$339.66 / $1,473.74 / $2,771.43
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$452.77 / $1,215.00 / $2,206.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$494.07 / $1,012.13 / $2,662.79