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Rhode Island 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
$2,630.27 / $2,630.27 / $3,981.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.99 / $954.99 / $5,370.32
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,230.27 / $6,025.60 / $12,589.25