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Illinois rates for HCPCS 42815

Exc Branchial Cleft Cyst Below Subq Tiss&/Phrynx

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$974.00 / $3,130.00 / $8,167.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,583.06 / $7,708.25 / $10,947.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$608.17 / $996.00 / $5,676.58
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$572.78 / $881.20 / $2,684.54
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
$1,300.00 / $5,820.00 / $12,241.00