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Deep Muscle Biopsy

Ohio 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 $4,169 · 10th–90th $324$10,7150%5%10%10th90th$4,169$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
Setting
Facility
Modifier
Global
Typical Low
$316.23
Median
$4,570.88
Typical High
$10,715.19
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,698.24
Median
$3,388.44
Typical High
$15,135.61
CareSource
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$151.36
Typical High
$177.83
Cigna
Setting
Facility
Modifier
Global
Typical Low
$169.82
Median
$239.88
Typical High
$21,379.62
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$3,467.37
Median
$3,467.37
Typical High
$21,379.62
SummaCare
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$3,548.13
United
Setting
Facility
Modifier
Global
Typical Low
$1,995.26
Median
$2,691.53
Typical High
$6,606.93