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Indiana 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
$279.26 / $834.00 / $11,093.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$268.92 / $366.62 / $543.03
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,140.00 / $5,958.00 / $9,462.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$233.26 / $306.58 / $475.22
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.01 / $396.03 / $582.39
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$358.01 / $438.74 / $631.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$476.27 / $615.00 / $1,868.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$286.77 / $401.85 / $674.17
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,500.00 / $5,995.00 / $9,243.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.94 / $414.88 / $673.33