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Oklahoma rates for HCPCS 42815

Excision branchial cleft cyst, vestige, or fistula, extending beneath subcutaneous tissues and/or into pharynx

Facilitymedian $5,370 · 10th–90th $871$9,3330%5%10%10th90th$5,370$500.0$1.0K$2.0K$5.0K$10.0K$20.0K$50.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,000.00 / $3,981.07 / $8,511.38
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,981.07 / $6,165.95 / $10,000.00
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$537.03 / $812.83 / $8,128.31
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,621.81 / $5,370.32 / $10,964.78