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Tennessee 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
$351.77 / $2,089.00 / $9,639.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$264.24 / $380.14 / $658.98
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,678.00 / $3,500.00 / $5,737.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$294.08 / $451.33 / $725.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$525.00 / $1,754.69 / $2,530.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$286.80 / $424.08 / $687.54
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,965.24 / $1,965.24 / $26,542.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,070.71 / $2,807.92 / $3,291.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $3,351.00 / $6,285.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$345.38 / $486.99 / $802.20