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West Virginia rates for HCPCS 42804

Biopsy; nasopharynx, visible lesion, simple

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.64 / $203.11 / $1,400.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.12 / $180.00 / $252.92
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$127.54 / $139.40 / $151.88
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.70 / $135.00 / $213.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.52 / $204.52 / $204.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.28 / $215.90 / $498.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,092.48 / $9,092.48 / $9,092.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.15 / $227.28 / $350.98