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Idaho rates for HCPCS 42804

Biopsy Nasopharynx Visible Lesion Simple

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,407.00 / $4,500.00 / $7,045.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.17 / $208.56 / $560.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.69 / $216.63 / $358.83
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$149.01 / $309.33 / $626.74
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.07 / $241.30 / $415.98
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $294.64 / $370.68
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,662.74 / $7,239.58 / $9,755.03
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$215.74 / $284.86 / $435.22
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,450.00 / $6,124.00 / $7,609.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$214.11 / $273.14 / $433.93