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Arizona rates for HCPCS 42804

Biopsy Nasopharynx Visible Lesion Simple

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,170.00 / $2,771.00 / $6,305.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.12 / $197.03 / $309.33
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$412.80 / $1,541.29 / $2,700.74
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$145.30 / $188.17 / $272.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$333.00 / $1,567.87 / $2,568.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.60 / $197.02 / $362.52
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$119.02 / $209.72 / $441.86
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.47 / $244.62 / $1,608.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$966.00 / $2,517.00 / $4,486.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.32 / $206.50 / $380.61