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Arkansas rates for HCPCS 42804

Biopsy; nasopharynx, visible lesion, simple

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$144.54 / $794.33 / $2,041.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $190.55 / $281.84
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,884.03 / $2,884.03 / $3,981.07
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $173.78 / $302.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$363.08 / $512.86 / $1,737.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.49 / $190.55 / $323.59
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$537.03 / $1,288.25 / $5,248.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $186.21 / $323.59