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South Carolina 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
$691.83 / $8,912.51 / $18,197.01
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,754.23 / $8,912.51 / $16,982.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$562.34 / $912.01 / $3,801.89
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $741.31 / $870.96
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$537.03 / $758.58 / $1,202.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,698.24 / $16,982.44 / $25,703.96