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Pennsylvania rates for HCPCS 42804

Biopsy; nasopharynx, visible lesion, simple

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$234.42 / $2,691.53 / $8,317.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $204.17 / $426.58
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,801.89 / $4,466.84 / $57,543.99
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $173.78 / $186.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.17 / $588.84 / $3,890.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.49 / $194.98 / $363.08
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$257.04 / $257.04 / $257.04
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $309.03 / $436.52
Geisinger
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $213.80 / $354.81
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,620.87 / $18,620.87 / $18,620.87
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$239.88 / $1,995.26 / $8,317.64
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $229.09 / $575.44
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$154.88 / $169.82 / $467.74
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $389.05 / $467.74
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.71 / $173.78 / $309.03
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $213.80 / $416.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$549.54 / $2,398.83 / $9,549.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $173.78 / $295.12