go back

Arkansas rates for HCPCS 42804

Biopsy; nasopharynx, visible lesion, simple

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$140.84 / $803.00 / $2,812.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.12 / $199.71 / $252.92
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,893.49 / $2,893.49 / $3,298.58
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.22 / $192.99 / $300.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$366.00 / $515.00 / $1,734.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.07 / $193.83 / $335.71
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$505.00 / $1,230.00 / $5,115.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$171.62 / $224.50 / $382.35