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Montana rates for HCPCS 86294

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

Facilitymedian $35 · 10th–90th $26–$780%20%10th90th$35Professionalmedian $24 · 10th–90th $17–$870%20%10th90th$24$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
Professional
Modifier
Typical Low / Median / Typical High
$19.05 / $23.99 / $169.82
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$38.02 / $50.12 / $144.54
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.49 / $29.51 / $36.31
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25.70 / $34.67 / $77.62
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.70 / $34.67 / $77.62
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28.18 / $43.65 / $144.54
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.91 / $22.91 / $31.62
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25.70 / $25.70 / $25.70
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.72 / $11.22 / $27.54