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Kansas 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
$956.86 / $6,560.00 / $13,151.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,140.66 / $2,455.46 / $2,518.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,284.00 / $3,365.00 / $3,365.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$566.42 / $792.27 / $8,280.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,967.00 / $4,960.00 / $11,732.00