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Delaware rates for HCPCS 88304

Level III - Surgical pathology, gross and microscopic examination Abortion, induced Abscess Aneurysm - arterial/ventricular Anus, tag Appendix, other than incidental Artery, atheromatous plaque Bartholin's gland cyst Bone fragment(s), other than pathologic fracture Bursa/synovial cyst Carpal tunnel tissue Cartilage, shavings Cholesteatoma Colon, colostomy stoma Conjunctiva - biopsy/pterygium Cornea Diverticulum - esophagus/small intestine Dupuytren's contracture tissue Femoral head, other than fracture Fissure/fistula Foreskin, other than newborn Gallbladder Ganglion cyst Hematoma Hemorrhoids Hydatid of Morgagni Intervertebral disc Joint, loose body Meniscus Mucocele, salivary Neuroma - Morton's/traumatic Pilonidal cyst/sinus Polyps, inflammatory - nasal/sinusoidal Skin - cyst/tag/debridement Soft tissue, debridement Soft tissue, lipoma Spermatocele Tendon/tendon sheath Testicular appendage Thrombus or embolus Tonsil and/or adenoids Varicocele Vas deferens, other than sterilization Vein, varicosity

Facilitymedian $35 · 10th–90th $10$9330%10%20%10th90th$35Professionalmedian $45 · 10th–90th $11$1580%10%10th90th$45$2.0$10.0$50.0$200.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$35.48 / $457.09 / $977.24
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$9.55 / $9.55 / $10.72
Aetna
Facility/Professional
Facility
Modifier
TC
Typical Low / Median / Typical High
$26.30 / $26.30 / $31.62
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$35.48 / $213.80 / $446.68
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$10.72 / $41.69 / $83.18
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$4.37 / $32.36 / $91.20
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$24.55 / $28.18 / $66.07
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$5.13 / $6.46 / $15.49
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$18.20 / $22.39 / $54.95
Highmark BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$37.15 / $37.15 / $37.15
Highmark BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$9.55 / $9.55 / $9.77
Highmark BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$28.18 / $28.18 / $28.18
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $43.65 / $93.33
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$7.08 / $11.48 / $26.30
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$21.88 / $35.48 / $67.61