go back

North Dakota 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
$544.39 / $544.39 / $8,500.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$544.39 / $764.15 / $1,630.18
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,790.00 / $2,790.00 / $2,790.00