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Deep Muscle Biopsy

Washington 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 $575 · 10th–90th $200$12,8820%5%10th90th$575$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
$288.40
Median
$3,388.44
Typical High
$17,782.79
Asuris Northwest Health
Setting
Facility
Modifier
Global
Typical Low
$5,370.32
Median
$7,585.78
Typical High
$15,488.17
Cigna
Setting
Facility
Modifier
Global
Typical Low
$707.95
Median
$870.96
Typical High
$3,388.44
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$181.97
Median
$371.54
Typical High
$2,344.23
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$338.84
Median
$549.54
Typical High
$616.60
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$416.87
Median
$416.87
Typical High
$741.31
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$5,248.07
Median
$7,943.28
Typical High
$15,488.17
United
Setting
Facility
Modifier
Global
Typical Low
$1,380.38
Median
$8,317.64
Typical High
$16,595.87