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Alaska rates for HCPCS 42815

Excision branchial cleft cyst, vestige, or fistula, extending beneath subcutaneous tissues and/or into pharynx

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,236.00 / $9,813.00 / $14,552.94
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$535.11 / $2,853.76 / $3,995.26
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$535.11 / $2,853.76 / $3,995.26