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Michigan rates for HCPCS 42804

Biopsy; nasopharynx, visible lesion, simple

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$269.15 / $2,041.74 / $4,897.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $199.53 / $338.84
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114.82 / $186.21 / $186.21
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.74 / $186.21 / $194.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $208.93 / $446.68
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.17 / $954.99 / $4,897.79
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $208.93 / $309.03
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.49 / $194.98 / $426.58
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$588.84 / $3,162.28 / $8,709.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.49 / $190.55 / $309.03