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Ohio 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
$968.80 / $6,119.10 / $11,627.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,755.00 / $3,555.00 / $19,117.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$505.49 / $657.14 / $985.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$608.17 / $4,048.28 / $5,935.99
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$608.17 / $4,048.28 / $4,422.06
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,050.00 / $6,227.00 / $9,483.00