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Maryland rates for HCPCS 42804

Biopsy; nasopharynx, visible lesion, simple

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $199.53 / $363.08
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.49 / $131.83 / $208.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.19 / $1,318.26 / $1,862.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.49 / $194.98 / $389.05
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $245.47 / $346.74
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.87 / $524.81 / $1,318.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $186.21 / $338.84
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $263.03 / $338.84