go back

West Virginia 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
$17,944.59 / $17,944.59 / $17,944.59
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$565.14 / $624.37 / $680.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$608.17 / $608.17 / $608.17
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,620.91 / $12,620.91 / $28,810.56