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Pennsylvania rates for HCPCS 42800

Biopsy Oropharynx

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$300.16 / $2,306.00 / $7,175.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.99 / $156.38 / $283.18
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,736.00 / $4,444.00 / $15,949.31
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.57 / $160.40 / $178.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$154.25 / $285.23 / $2,109.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.74 / $174.98 / $294.49
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$265.42 / $265.42 / $265.42
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.67 / $247.67 / $316.45
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$273.92 / $6,374.43 / $7,347.47
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$504.27 / $2,306.00 / $7,197.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.68 / $174.27 / $504.27
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$174.00 / $174.00 / $174.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.00 / $179.40 / $421.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$149.37 / $491.00 / $2,151.00
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.91 / $174.98 / $302.10
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$113.75 / $145.24 / $161.16
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.49 / $151.34 / $165.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$345.00 / $1,077.00 / $3,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.35 / $174.90 / $297.58