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Maine rates for HCPCS 42804

Biopsy Nasopharynx Visible Lesion Simple

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.12 / $201.53 / $358.59
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.19 / $232.13 / $326.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.52 / $204.52 / $456.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.31 / $247.39 / $481.33
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.75 / $265.04 / $467.86
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.46 / $213.38 / $358.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$188.13 / $282.20 / $443.11