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Oklahoma rates for HCPCS 42804

Biopsy; nasopharynx, visible lesion, simple

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.19 / $2,398.83 / $6,606.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $199.53 / $323.59
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $107.15 / $107.15
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,162.28 / $5,011.87 / $8,128.31
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $151.36 / $269.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $190.55 / $295.12
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$125.89 / $223.87 / $2,884.03
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $239.88 / $1,621.81
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.44 / $2,089.30 / $4,073.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $169.82 / $257.04