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Georgia 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
$1,122.02 / $5,623.41 / $9,549.93
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $2,951.21 / $6,918.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$512.86 / $1,000.00 / $4,570.88
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $630.96 / $1,445.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$741.31 / $5,370.32 / $10,964.78