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Arkansas 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
$354.81 / $1,174.90 / $2,041.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $380.19 / $562.34
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $588.84 / $588.84
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,884.03 / $2,884.03 / $3,981.07
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $398.11 / $549.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$512.86 / $562.34 / $2,511.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $407.38 / $616.60
Qualchoice
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $676.08 / $676.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$812.83 / $1,819.70 / $7,079.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $389.05 / $630.96