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Deep Muscle Biopsy

Iowa rates for HCPCS 20205

Through an incision, a sample of muscle is taken from beneath the covering layer, deeper than a surface sample, and sent to a laboratory. The tissue is examined for muscle disease, inflammation, infection or damage to the nerves supplying the muscle. It is usually done with numbing medicine, sometimes with sedation.

Facilitymedian $3,467 · 10th–90th $295$6,7610%5%10th90th$3,467Professionalmedian $417 · 10th–90th $162$8320%10%10th90th$417$200.0$500.0$1.0K$2.0K$5.0K$10.0K$20.0K

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
$295.12
Median
$3,801.89
Typical High
$6,456.54
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$363.08
Typical High
$758.58
Medica
Setting
Facility
Modifier
Global
Typical Low
$234.42
Median
$588.84
Typical High
$6,456.54
Midlands
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$512.86
Typical High
$831.76
United
Setting
Facility
Modifier
Global
Typical Low
$3,162.28
Median
$5,370.32
Typical High
$7,762.47