go back

Minnesota 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
$512.86 / $512.86 / $6,606.93
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,235.94 / $11,748.98 / $26,915.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,230.27 / $1,995.26 / $4,677.35
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,513.56 / $1,905.46 / $3,715.35
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$524.81 / $870.96 / $5,623.41
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,951.21 / $7,943.28 / $12,589.25