go back

Rhode Island rates for HCPCS 42815

Exc Branchial Cleft Cyst Below Subq Tiss&/Phrynx

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,657.52 / $3,438.26 / $4,026.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$956.00 / $956.00 / $5,421.61
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,219.00 / $5,979.00 / $12,680.00