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Pennsylvania rates for HCPCS 42815

Exc Branchial Cleft Cyst Below Subq Tiss&/Phrynx

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$572.64 / $4,539.00 / $10,247.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,639.91 / $11,851.00 / $26,582.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$690.00 / $3,025.00 / $8,073.00
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,206.45 / $1,206.45 / $1,206.45
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,730.46 / $19,421.55 / $31,952.12
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,020.00 / $4,993.00 / $10,247.00
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$650.29 / $650.29 / $650.29
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$608.17 / $2,760.00 / $7,820.94
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$530.91 / $530.91 / $659.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,530.00 / $3,879.00 / $7,000.00