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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
$891.25 / $2,691.53 / $6,606.93
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,365.16 / $7,762.47 / $12,022.64
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$467.74 / $5,623.41 / $5,623.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$724.44 / $1,148.15 / $4,265.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,096.48 / $4,677.35 / $11,748.98