go back

Idaho 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
$4,365.16 / $7,413.10 / $10,000.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,398.83 / $6,606.93 / $15,135.61
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$549.54 / $851.14 / $1,621.81
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,772.37 / $13,182.57 / $18,620.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,232.93 / $22,387.21 / $27,542.29