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Texas 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
$816.88 / $3,730.00 / $12,729.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,770.72 / $7,178.78 / $14,551.59
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$466.76 / $5,603.53 / $5,603.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,847.00 / $3,795.09 / $4,927.06
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,500.00 / $16,547.20 / $26,542.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$525.47 / $663.72 / $1,204.10
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$528.21 / $675.57 / $1,234.85
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,093.00 / $5,870.00 / $13,237.00