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Maryland rates for HCPCS 42815

Exc Branchial Cleft Cyst Below Subq Tiss&/Phrynx

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$617.12 / $5,392.12 / $6,802.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$715.00 / $3,018.07 / $3,914.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$532.85 / $675.22 / $993.37
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,236.00 / $1,679.00 / $3,590.00