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Washington, DC 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
$1,318.26 / $4,073.80 / $7,079.46
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $537.03 / $1,122.02
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,073.80 / $13,182.57 / $33,884.42