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Montana rates for HCPCS 42804

Biopsy; nasopharynx, visible lesion, simple

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $199.53 / $380.19
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46,773.51 / $81,283.05 / $95,499.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.98 / $194.98 / $194.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $213.80 / $524.81
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$199.53 / $331.13 / $398.11
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $331.13 / $398.11
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.82 / $234.42 / $416.87
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $288.40 / $549.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $245.47 / $371.54