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Deep Muscle Biopsy

Virginia 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 $1,862 · 10th–90th $174$7,0790%5%10th90th$1,862Professionalmedian $398 · 10th–90th $316$6760%20%10th90th$398$100.0$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$269.15
Median
$4,073.80
Typical High
$7,943.28
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$5,888.44
Median
$6,760.83
Typical High
$7,413.10
Cigna
Setting
Facility
Modifier
Global
Typical Low
$645.65
Median
$645.65
Typical High
$645.65
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$416.87
Typical High
$501.19
Medcost
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$398.11
Typical High
$724.44
Medcost
Setting
Facility
Modifier
Global
Typical Low
$158.49
Median
$288.40
Typical High
$501.19
Sentara
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$194.98
Typical High
$3,388.44
United
Setting
Facility
Modifier
Global
Typical Low
$1,698.24
Median
$3,162.28
Typical High
$5,754.40