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Kentucky rates for HCPCS 86294

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

Facilitymedian $26 · 10th–90th $20–$620%20%10th90th$26Professionalmedian $20 · 10th–90th $12–$280%20%10th90th$20$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
$19.95 / $25.70 / $61.66
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.98 / $19.95 / $25.12
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.85 / $25.70 / $26.92
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.23 / $17.38 / $28.84
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25.70 / $30.90 / $35.48
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.70 / $31.62 / $51.29
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17.38 / $50.12 / $60.26
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.75 / $123.03 / $123.03
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.13 / $14.13 / $14.13
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11.48 / $25.70 / $25.70
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.72 / $15.49 / $28.18