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Deep Muscle Biopsy

South Dakota 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 $309 · 10th–90th $145$4,3650%10%10th90th$309Professionalmedian $380 · 10th–90th $257$5890%10%20%10th90th$380$200.0$500.0$1.0K$2.0K$5.0K

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
$144.54
Median
$309.03
Typical High
$4,365.16
Medica
Setting
Facility
Modifier
Global
Typical Low
$208.93
Median
$371.54
Typical High
$645.65
Midlands
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$346.74
Typical High
$645.65
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$380.19
Typical High
$588.84
United
Setting
Facility
Modifier
Global
Typical Low
$1,995.26
Median
$1,995.26
Typical High
$5,888.44