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Virginia 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
$432.71 / $3,988.00 / $8,294.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$279.26 / $385.61 / $664.26
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,060.00 / $3,693.00 / $4,290.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$283.22 / $394.01 / $589.86
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.38 / $309.47 / $744.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$476.27 / $925.00 / $1,568.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.30 / $427.94 / $713.09
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.23 / $464.13 / $655.11
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$320.91 / $452.38 / $689.28
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$471.71 / $549.00 / $732.00
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$289.30 / $363.79 / $658.17
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$392.87 / $484.52 / $913.18
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$908.00 / $5,815.00 / $12,680.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$299.39 / $451.97 / $732.21