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Deep Muscle Biopsy

Kentucky 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 $3,020 · 10th–90th $263$8,1280%5%10th90th$3,020$200.0$500.0$1.0K$2.0K$5.0K$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
Setting
Facility
Modifier
Global
Typical Low
$169.82
Median
$616.60
Typical High
$5,370.32
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,089.30
Median
$3,801.89
Typical High
$8,511.38
CareSource
Setting
Facility
Modifier
Global
Typical Low
$134.90
Median
$194.98
Typical High
$251.19
Cigna
Setting
Facility
Modifier
Global
Typical Low
$169.82
Median
$263.03
Typical High
$1,862.09
United
Setting
Facility
Modifier
Global
Typical Low
$524.81
Median
$2,137.96
Typical High
$5,495.41