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Indiana 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
$776.25 / $9,549.93 / $16,218.10
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,570.88 / $18,197.01 / $26,302.68
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$524.81 / $537.03 / $616.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.44 / $870.96 / $1,148.15
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,265.80 / $9,549.93 / $16,218.10