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Louisiana 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
$745.57 / $2,447.00 / $5,150.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,588.66 / $7,750.58 / $11,965.29
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$466.76 / $5,603.53 / $5,603.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$608.17 / $1,026.00 / $4,042.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,100.00 / $4,717.00 / $10,959.00