go back

Alaska rates for HCPCS 42804

Biopsy Nasopharynx Visible Lesion Simple

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$584.98 / $5,084.91 / $13,413.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.43 / $221.68 / $1,069.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.91 / $245.80 / $639.54
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.33 / $631.66 / $1,497.22
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$311.88 / $652.75 / $1,350.30
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$386.40 / $682.59 / $1,151.89
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$145.06 / $631.66 / $1,497.22
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$231.68 / $544.50 / $1,104.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$258.39 / $485.56 / $1,339.34