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Utah rates for HCPCS 42804

Biopsy Nasopharynx Visible Lesion Simple

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$153.49 / $2,833.00 / $4,387.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.45 / $186.12 / $354.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.69 / $229.20 / $396.72
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.63 / $156.12 / $202.90
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,525.68 / $6,104.56 / $8,896.10
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$166.30 / $241.22 / $367.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,689.00 / $2,312.00 / $4,640.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.15 / $242.95 / $419.21