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Arizona 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
$1,965.00 / $3,936.00 / $7,467.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$264.76 / $377.85 / $641.80
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$632.79 / $2,362.71 / $4,140.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$335.88 / $390.46 / $496.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$510.00 / $1,567.87 / $2,568.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$278.62 / $394.30 / $707.13
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$284.77 / $395.22 / $843.40
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$341.00 / $472.42 / $2,915.36
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$845.00 / $3,311.00 / $5,133.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$330.12 / $407.01 / $753.26