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Delaware 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
$1,395.68 / $6,907.00 / $10,105.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,025.00 / $3,200.76 / $3,200.76
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,132.00 / $6,132.00 / $6,132.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,663.00 / $2,530.00 / $2,530.00