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Illinois 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
$1,023.29 / $4,466.84 / $11,220.18
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,265.80 / $8,128.31 / $10,964.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$660.69 / $831.76 / $5,623.41
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $977.24 / $3,019.95
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,905.46 / $5,370.32 / $12,302.69