go back

Alaska rates for HCPCS 42815

Exc Branchial Cleft Cyst Below Subq Tiss&/Phrynx

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