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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
$1,017.00 / $4,673.00 / $6,996.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$565.54 / $595.29 / $1,245.29
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,261.00 / $4,165.00 / $26,408.00