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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
$263.03 / $3,162.28 / $4,570.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $199.53 / $354.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $218.78 / $407.38
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $234.42
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,570.88 / $5,370.32 / $12,022.64
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $251.19 / $398.11
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $239.88 / $426.58
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $275.42 / $416.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,698.24 / $4,466.84 / $5,128.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $181.97 / $316.23