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Hawaii rates for HCPCS 86294

Immunoassay for tumor antigen, qualitative or semiquantitative (eg, bladder tumor antigen)

Facilitymedian $25 · 10th–90th $25–$350%50%90th$25Professionalmedian $24 · 10th–90th $12–$480%10%10th90th$24$10.0$20.0$50.0

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
$25.12 / $25.12 / $34.67
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $20.89 / $23.99
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.49 / $15.49 / $15.49
HMSA
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.88 / $43.65 / $47.86
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.70 / $30.90 / $38.02
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.72 / $27.54 / $38.02
University Health Alliance
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.84 / $30.20 / $36.31