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Missouri rates for HCPCS 42804

Biopsy Nasopharynx Visible Lesion Simple

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$544.41 / $2,507.00 / $7,365.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.73 / $199.71 / $314.47
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$862.00 / $1,785.00 / $4,773.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.00 / $180.44 / $313.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,652.00 / $1,652.00 / $1,652.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.67 / $213.85 / $405.06
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.55 / $225.45 / $877.20
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.80 / $387.84 / $1,608.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,380.00 / $2,363.00 / $10,256.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.54 / $280.58 / $514.29