go back

Nebraska 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
$4,083.97 / $8,477.27 / $19,276.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.00 / $364.17 / $659.20
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,551.47 / $5,148.63 / $9,035.51
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$278.81 / $511.69 / $740.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$396.46 / $818.06 / $1,143.45
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$285.37 / $466.14 / $841.77
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$541.86 / $894.79 / $2,915.36
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$628.09 / $866.77 / $2,308.06
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.26 / $763.83 / $1,031.36
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.00 / $516.29 / $1,102.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,217.00 / $6,451.00 / $7,934.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$541.86 / $850.07 / $940.65