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New Mexico rates for HCPCS 42804

Biopsy Nasopharynx Visible Lesion Simple

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$234.96 / $2,145.78 / $7,838.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.12 / $201.53 / $302.86
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,764.93 / $6,017.73 / $9,581.71
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.51 / $172.51 / $312.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.52 / $204.52 / $1,651.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.86 / $215.20 / $370.52
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $59.90 / $316.58
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114.93 / $201.73 / $283.45
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.91 / $255.31 / $458.27
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$755.00 / $3,085.00 / $14,184.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.28 / $282.51 / $403.21