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New York 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
$675.55 / $5,590.03 / $12,942.92
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,070.00 / $6,992.00 / $12,173.00
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$767.42 / $2,644.00 / $12,319.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$608.17 / $608.17 / $7,289.38
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$332.00 / $619.00 / $1,408.84
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$504.25 / $504.25 / $1,192.63
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,318.79 / $9,917.59 / $13,363.92
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$597.00 / $608.17 / $7,771.36
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,160.00 / $5,547.00 / $12,509.00
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$648.74 / $648.74 / $2,182.44