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Indiana rates for HCPCS 42804

Biopsy Nasopharynx Visible Lesion Simple

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$121.07 / $230.98 / $5,634.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.12 / $184.21 / $268.50
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,636.00 / $3,840.00 / $7,036.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.65 / $139.57 / $219.75
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$111.95 / $145.54 / $266.92
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$192.48 / $230.98 / $288.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.52 / $402.00 / $1,868.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.63 / $197.00 / $346.46
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$900.00 / $3,817.00 / $5,402.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.32 / $217.24 / $411.09