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Ohio 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
$377.85 / $3,983.00 / $10,268.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$277.32 / $377.85 / $641.80
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$918.00 / $2,443.00 / $8,800.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.94 / $348.52 / $568.29
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$266.01 / $345.81 / $518.72
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$293.94 / $446.33 / $696.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$476.27 / $1,935.02 / $2,837.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$287.50 / $419.32 / $682.64
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$562.00 / $1,935.02 / $2,113.67
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$294.95 / $429.95 / $692.51
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.34 / $342.39 / $523.79
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$800.00 / $4,072.00 / $6,238.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$329.27 / $448.60 / $793.98