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Connecticut 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
$4,365.16 / $7,079.46 / $14,125.38
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,317.64 / $15,135.61 / $16,595.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $4,570.88 / $7,413.10
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,174.90 / $1,174.90 / $1,174.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,202.26 / $8,709.64 / $13,803.84