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Louisiana rates for HCPCS 42804

Biopsy; nasopharynx, visible lesion, simple

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$295.12 / $1,288.25 / $3,890.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $199.53 / $338.84
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,778.28 / $3,715.35 / $5,888.44
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $229.09 / $338.84
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$109.65 / $2,691.53 / $2,691.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.17 / $537.03 / $2,041.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $218.78 / $389.05
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$467.74 / $1,445.44 / $4,786.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $181.97 / $309.03