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Minnesota rates for HCPCS 42815

Exc Branchial Cleft Cyst Below Subq Tiss&/Phrynx

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$515.66 / $515.66 / $6,781.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,573.77 / $9,458.16 / $20,811.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,202.29 / $1,876.46 / $4,514.07
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,041.89 / $1,712.39 / $3,554.39
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$533.98 / $939.65 / $2,960.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,960.00 / $7,872.00 / $11,531.00