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Arkansas 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
$676.08 / $1,819.70 / $2,511.89
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,370.32 / $5,370.32 / $7,413.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$512.86 / $794.33 / $4,365.16
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,548.82 / $2,951.21 / $9,332.54