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Iowa rates for HCPCS 42804

Biopsy Nasopharynx Visible Lesion Simple

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,234.00 / $3,795.64 / $7,119.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.12 / $207.02 / $492.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$646.00 / $646.00 / $646.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.21 / $319.50 / $586.08
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.02 / $284.33 / $493.79
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$206.87 / $346.55 / $3,396.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.36 / $433.40 / $1,608.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$269.20 / $461.49 / $2,440.29
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$240.32 / $378.55 / $568.85
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.00 / $388.90 / $586.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,044.00 / $5,163.00 / $8,837.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.74 / $324.45 / $605.91
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.40 / $292.89 / $485.50