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Massachusetts rates for HCPCS 86294

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

Facilitymedian $51 · 10th–90th $19$830%10%20%10th90th$51Professionalmedian $26 · 10th–90th $17$430%20%10th90th$26$10.0$50.0$200.0$1.0K$5.0K$20.0K

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
$18.20 / $57.54 / $83.18
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.85 / $19.95 / $33.88
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.05 / $29.51 / $120.23
AllWays Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.49 / $25.70 / $61.66
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$40.74 / $51.29 / $72.44
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.99 / $23.99 / $25.12
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17.78 / $33.11 / $75.86
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $28.84 / $44.67
Fallon Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26.30 / $34.67 / $4,897.79
Fallon Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.18 / $33.11 / $43.65
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.70 / $25.70 / $60.26
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.05 / $29.51 / $120.23
Mass General Brigham
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.49 / $25.70 / $61.66
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11.48 / $24.55 / $30.90
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.18 / $25.70 / $63.10