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New Jersey rates for HCPCS 11104

Punch biopsy of skin (including simple closure, when performed); single lesion

Facilitymedian $4,467 · 10th–90th $437–$10,2330%5%10%10th90th$4,467Professionalmedian $117 · 10th–90th $43–$3390%5%10%10th90th$117$20.0$100.0$500.0$2.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$426.58 / $4,570.88 / $10,232.93
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$42.66 / $117.49 / $338.84
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$123.03 / $123.03 / $151.36
AmeriHealth
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,248.07 / $12,882.50 / $18,197.01
AmeriHealth
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$117.49 / $134.90 / $288.40
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$48.98 / $120.23 / $257.04
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$128.82 / $141.25 / $199.53
Horizon BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$831.76 / $1,288.25 / $2,041.74
Horizon BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$43.65 / $114.82 / $213.80
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,318.26 / $2,630.27 / $6,606.93
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$27.54 / $74.13 / $208.93