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Massachusetts 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
$2,570.40 / $3,630.78 / $6,456.54
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,288.25 / $4,897.79 / $16,595.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.99 / $1,047.13 / $6,456.54
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489.78 / $1,047.13 / $7,079.46
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$776.25 / $5,011.87 / $13,182.57
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,248.07 / $5,248.07 / $12,589.25
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,288.25 / $4,897.79 / $16,595.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,584.89 / $5,370.32 / $13,182.57