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Deep Muscle Biopsy

New York 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 $4,677 · 10th–90th $288$11,2200%5%10th90th$4,677$200.0$1.0K$5.0K$20.0K$100.0K

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
$213.80
Median
$3,890.45
Typical High
$10,471.29
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,388.44
Median
$5,495.41
Typical High
$12,882.50
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$213.80
Median
$1,995.26
Typical High
$8,912.51
Cigna
Setting
Facility
Modifier
Global
Typical Low
$263.03
Median
$1,862.09
Typical High
$50,118.72
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$169.82
Median
$208.93
Typical High
$575.44
Excellus BCBS
Setting
Facility
Modifier
Global
Typical Low
$275.42
Median
$275.42
Typical High
$275.42
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,019.95
Median
$3,019.95
Typical High
$3,019.95
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$50,118.72
Typical High
$75,857.76
United
Setting
Facility
Modifier
Global
Typical Low
$1,862.09
Median
$3,467.37
Typical High
$7,943.28
Univera
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$181.97
Typical High
$676.08