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New Mexico rates for HCPCS 86294

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

Facilitymedian $85 · 10th–90th $23–$2040%10%20%10th90th$85Professionalmedian $24 · 10th–90th $12–$370%20%10th90th$24$10.0$50.0$200.0$1.0K$5.0K$20.0K$100.0K

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
$38.02 / $81.28 / $85.11
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.05 / $23.99 / $37.15
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$54.95 / $138.04 / $223.87
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.60 / $16.60 / $16.60
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.30 / $30.20 / $42.66
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.13 / $14.13 / $14.13
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.60 / $25.12 / $30.90
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.30 / $30.20 / $42.66
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.45 / $22.91 / $38.02
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.72 / $11.48 / $15.49