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Kansas rates for HCPCS 86294

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

Facilitymedian $52 · 10th–90th $25–$620%20%10th90th$52Professionalmedian $22 · 10th–90th $17–$330%20%10th90th$22$10.0$20.0$50.0$100.0

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
$26.92 / $56.23 / $75.86
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.78 / $21.88 / $25.12
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$34.67 / $52.48 / $54.95
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.11 / $33.11 / $33.11
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.13 / $33.11 / $58.88
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $27.54 / $46.77
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18.62 / $18.62 / $44.67
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.72 / $15.85 / $40.74
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11.48 / $25.70 / $30.90
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.72 / $15.49 / $39.81