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Kentucky 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
$518.69 / $896.00 / $10,152.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,320.00 / $4,334.00 / $11,433.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$502.36 / $689.50 / $795.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$608.17 / $608.17 / $608.17
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$719.00 / $1,298.00 / $10,113.00