go back

Oklahoma rates for HCPCS 42815

Exc Branchial Cleft Cyst Below Subq Tiss&/Phrynx

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,346.00 / $4,856.00 / $14,100.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,175.22 / $6,585.53 / $10,443.50
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$548.82 / $792.27 / $7,567.45
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,481.00 / $5,910.00 / $9,232.95