go back

Hawaii 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
$1,778.28 / $4,466.84 / $4,466.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $380.19 / $575.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,258.93 / $1,258.93 / $1,258.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $457.09 / $1,202.26
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $562.34 / $676.08
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $426.58 / $575.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $1,995.26 / $1,995.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.40 / $416.87 / $645.65
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $2,570.40 / $6,165.95