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Muscle Biopsy, Superficial

South Dakota rates for HCPCS 20200

Takes a small sample of muscle through a short incision so it can be examined in the laboratory. The sample is taken from a muscle lying close to the surface. It is used to look for the cause of muscle weakness, pain or wasting, such as inflammation, an inherited muscle disease, or a problem with how muscle produces energy.

Facilitymedian $263 · 10th–90th $89$3,0900%10%10th90th$263Professionalmedian $257 · 10th–90th $158$4170%10%10th90th$257$100.0$200.0$500.0$1.0K$2.0K

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
Setting
Facility
Modifier
Global
Typical Low
$89.13
Median
$223.87
Typical High
$4,365.16
Medica
Setting
Facility
Modifier
Global
Typical Low
$128.82
Median
$245.47
Typical High
$467.74
Midlands
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$208.93
Typical High
$467.74
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$257.04
Typical High
$416.87
United
Setting
Facility
Modifier
Global
Typical Low
$1,995.26
Median
$1,995.26
Typical High
$3,388.44