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New York 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
$361.17 / $3,646.00 / $10,577.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$282.58 / $404.50 / $691.75
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,373.00 / $4,085.00 / $8,281.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$282.49 / $350.81 / $861.32
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$397.31 / $1,990.00 / $8,917.50
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$397.31 / $397.31 / $555.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$476.27 / $476.27 / $5,246.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$276.67 / $508.66 / $1,138.00
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$304.82 / $353.00 / $746.37
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$406.49 / $529.58 / $785.17
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$361.83 / $361.83 / $862.75
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$330.23 / $416.10 / $717.38
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,102.00 / $4,102.00 / $4,102.00
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$476.27 / $555.00 / $5,246.94
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$304.85 / $535.66 / $1,100.31
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,693.00 / $4,311.00 / $10,065.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$312.44 / $427.14 / $969.65
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$342.34 / $342.34 / $1,093.98
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$360.03 / $508.38 / $791.29