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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
$116.14 / $202.92 / $394.38
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.02 / $135.74 / $214.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$376.00 / $1,441.78 / $1,870.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.89 / $203.36 / $400.15
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$189.81 / $261.52 / $387.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$418.00 / $453.00 / $1,330.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.33 / $239.11 / $448.45
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.86 / $256.61 / $316.35