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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
$117.49 / $204.17 / $1,412.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $194.98 / $295.12
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.82 / $128.82 / $151.36
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $134.90 / $134.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.17 / $204.17 / $204.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $218.78 / $645.65
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,230.27 / $1,230.27 / $9,332.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.50 / $173.78 / $316.23