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Louisiana rates for HCPCS 42800

Biopsy; oropharynx

Facilitymedian $1,288 · 10th–90th $339–$3,8900%5%10%10th90th$1,288Professionalmedian $162 · 10th–90th $112–$3240%10%10th90th$162$50.0$100.0$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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$338.84 / $1,288.25 / $3,890.45
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$112.20 / $158.49 / $331.13
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$338.84 / $2,630.27 / $4,786.30
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$154.88 / $186.21 / $251.19
Christus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$95.50 / $1,148.15 / $1,148.15
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$138.04 / $489.78 / $812.83
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$120.23 / $194.98 / $338.84
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$338.84 / $1,202.26 / $2,951.21
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$100.00 / $151.36 / $257.04