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South Carolina rates for HCPCS 42804

Biopsy Nasopharynx Visible Lesion Simple

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$144.94 / $512.01 / $9,062.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.14 / $201.53 / $300.58
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$589.00 / $3,763.91 / $6,751.95
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.80 / $163.71 / $250.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$375.00 / $440.00 / $1,838.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.46 / $213.96 / $412.02
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$125.47 / $236.05 / $362.10
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.60 / $398.00 / $1,569.80
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.21 / $201.91 / $314.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$614.00 / $6,607.00 / $10,400.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.69 / $224.30 / $441.86