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Maryland rates for HCPCS 86294

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

Facilitymedian $13 · 10th–90th $11$260%20%10th90th$13Professionalmedian $20 · 10th–90th $12$300%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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.13 / $19.95 / $30.20
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.62 / $20.42 / $20.89
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.18 / $16.98 / $33.11
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.18 / $22.39 / $63.10
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.70 / $29.51 / $38.02
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.72 / $10.72 / $19.50
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.23 / $11.48 / $23.99
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.42 / $20.42 / $20.42