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Idaho rates for HCPCS 42815

Exc Branchial Cleft Cyst Below Subq Tiss&/Phrynx

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,500.00 / $7,493.60 / $10,019.54
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$577.04 / $974.48 / $1,673.90
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,660.78 / $13,168.12 / $17,807.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,120.00 / $22,317.00 / $27,159.00