go back

Pennsylvania rates for HCPCS 42804

Biopsy Nasopharynx Visible Lesion Simple

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$212.94 / $1,926.00 / $7,197.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.12 / $186.12 / $268.50
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,736.00 / $4,444.00 / $15,949.31
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$207.59 / $215.42 / $215.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$320.00 / $1,113.00 / $3,848.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.76 / $201.06 / $357.75
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$276.97 / $276.97 / $276.97
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$253.21 / $335.91 / $429.20
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,340.92 / $9,340.92 / $13,512.89
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$295.70 / $2,070.00 / $7,799.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.13 / $203.43 / $683.00
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$170.40 / $170.40 / $170.40
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.00 / $180.70 / $586.20
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.52 / $795.00 / $3,661.98
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.62 / $201.25 / $362.25
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$119.74 / $138.18 / $209.21
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.17 / $174.22 / $226.53
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$573.00 / $2,533.00 / $10,329.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $224.30 / $386.93