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Nebraska 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
$5,754.40 / $7,943.28 / $14,454.40
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,165.95 / $8,128.31 / $15,848.93
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.19 / $851.14 / $8,709.64
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.13 / $1,258.93 / $1,659.59
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,309.57 / $7,413.10 / $9,120.11