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Arizona rates for HCPCS 42815

Exc Branchial Cleft Cyst Below Subq Tiss&/Phrynx

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,527.00 / $4,384.00 / $7,960.15
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$888.80 / $3,318.56 / $5,814.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$717.00 / $3,280.17 / $5,374.52
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$515.28 / $649.77 / $6,230.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,350.00 / $6,230.00 / $9,010.00