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South Carolina rates for HCPCS 42815

Exc Branchial Cleft Cyst Below Subq Tiss&/Phrynx

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$642.96 / $4,677.39 / $12,994.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,751.29 / $9,231.92 / $16,512.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$375.00 / $920.00 / $3,845.77
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$566.38 / $726.19 / $1,098.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$990.00 / $15,451.00 / $23,485.00