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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
$2,657.52 / $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